Individual
DONNA RIDLEY WILBER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC MENTAL H
Contact information
Practice address
4020 BELKNAP HILL RD, BRANCHPORT, NY 14418-9510
(315) 759-1085
Mailing address
4020 BELKNAP HILL RD, BRANCHPORT, NY 14418-9510
(315) 759-1085
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F4008421
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400342
NY
Other
Enumeration date
01/10/2007
Last updated
05/01/2024
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