Individual
ABIGAIL NAOMI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
362 GILMORE RD, BROCKPORT, NY 14420-9313
(585) 481-7215
Mailing address
362 GILMORE RD, BROCKPORT, NY 14420-9313
(585) 481-7215
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F310137
NY
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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