Individual
KATIE MARIE WIGDORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263
(716) 845-2300
(716) 845-8057
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8057
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F336848
NY
363LF0000X
Family Nurse Practitioner
F336848
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03378489
—
NY
Enumeration date
08/05/2011
Last updated
02/12/2021
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