Individual provider · Type 1 NPI
Nancy Anne Wichtendahl, NP
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1386806677
Active
Practice location
Umc Stony Brk, Hsc T-16-080
Stony Brook, NY 11794-0001
Fax (631) 444-1054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | F301619 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F301619 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1386806677
Nancy Anne Wichtendahl, NP's National Provider Identifier is 1386806677, issued on Jun 27, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Jun 27, 2008.