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Mrs. Casey Marie Wild, NP
Pediatric Nurse Practitioner in Buffalo, New York
NPI 1881845980

Casey Marie Wild is a Pediatric Nurse Practitioner based in Buffalo, NY and is specialized in Pediatrics. Casey Marie Wild practices in Buffalo, NY and has the professional credentials of NP. The NPI Number for Casey Marie Wild is 1881845980 and holds a License No. 381988 (New York).

The current practice location address for Casey Marie Wild is 1001 Main St Fl 4, Buffalo, NY and can be reached out via phone at 716-323-0170 and via fax at 716-323-0297.

Location: 1001 Main St Fl 4, Buffalo, NY, 14203-1009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881845980
Provider Name
Casey Marie Wild
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1001 Main St Fl 4, Buffalo, NY, 14203-1009
Phone Number
716-323-0170
Fax Number
716-323-0297
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03057545 05 NY
institution
Provider Business Practice Location Address Details
Address
1001 Main St Fl 4
City
Buffalo
State
New York
Zip
14203-1009
Phone Number
716-323-0170
Fax Number
716-323-0297
person
Provider Business Mailing Address Details
Address
1001 Main St Fl 4
City
Buffalo
State
New York
Zip
14203-1009
Phone Number
716-323-0170
Fax Number
716-323-0297
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
381988 (New York)
Definition
Definition to come...
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