Individual
JANET MARIE WYSOCKI FREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
100 OHIO ST, MEDINA, NY 14103-1191
(585) 798-3345
Mailing address
726 EXCHANGE ST, BUFFALO, NY 14210-1484
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308784
NY
Other
Enumeration date
07/17/2018
Last updated
06/13/2022
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