Individual
MRS. JUDY NORMAN WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
ROME CBOC OF THE SYRACUSE VA, 125 BROOKLEY AVE., ROME, NY 13441
(315) 334-7100
(315) 334-7171
Mailing address
1407 N MADISON ST, ROME, NY 13440-2707
(315) 334-4662
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F330964-1
NY
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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