Individual
MRS. BETH ANN WESLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
6970 ERIE RD, DERBY, NY 14047-9591
(716) 947-9147
(716) 947-5175
Mailing address
4979 HARLEM RD, AMHERST, NY 14226-2547
(716) 923-4380
(716) 923-4384
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
267855
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
311217
NY
Other
Enumeration date
12/21/2006
Last updated
03/21/2023
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