Individual provider · Type 1 NPI
Casey Marie Wild, NP
Pediatric Nurse Practitioner · Buffalo, NY
NPI number
1881845980
Active
Practice location
1001 Main St Fl 4
Buffalo, NY 14203-1009
Fax (716) 323-0297
Mailing address
1001 Main St Fl 5
Buffalo, NY 14203-1009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 381988 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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- Bree Cyrene Kramer, DOPediatric Critical Care Medicine Physician Buffalo, NY NPI 1477704609
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About NPI 1881845980
Casey Marie Wild, NP's National Provider Identifier is 1881845980, issued on Oct 7, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Buffalo, NY. The record was last updated on Feb 22, 2021.