| Doctor Name: | CHARIS WIPFLER |
| NPI Number: | 1003177163 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 005039 |
| Business Practice Address: | 56 Franklin St Waterbury, CT - 067061253 |
| Business Phone Number: | 8607096140 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1090, WINDSOR |
| State: | CT |
| Postal Code: | 060956190 |
| Phone Number: | 8009257270 |
| Fax Number: | 8883311015 |
| NPI Enumeration Date: | 06/06/2012 |
| NPI Last Update Date: | 07/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC0200X |
| License Number: | 005039 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |