Individual provider · Type 1 NPI

Diane M. Wizeman

General Practice Registered Nurse · Bath, NY

NPI number 1750493201 Active

Practice location

76 Veterans Ave
Bath, NY 14810-0810

Mailing address

253 E 2nd St
Corning, NY 14830-3301

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X22 259 677 (NY)

General Practice Registered Nurse: Definition to come...

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About NPI 1750493201

Diane M. Wizeman's National Provider Identifier is 1750493201, issued on Aug 31, 2006. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Bath, NY. The record was last updated on Jul 8, 2007.