Individual provider · Type 1 NPI

Nicole Ashley Wagner

Family Nurse Practitioner · Williamsville, NY

NPI number 1780340356 Active

Practice location

1540 Maple Rd
Williamsville, NY 14221-3647

Call (716) 568-3600 Map

Mailing address

PO Box 8000 Dept 233
Buffalo, NY 14267-0001

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X347941 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1780340356

Nicole Ashley Wagner's National Provider Identifier is 1780340356, issued on Nov 9, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Williamsville, NY. The record was last updated on Nov 9, 2021.