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Individual

MRS. ANN L. WIERTEL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3495 BAILEY AVE 512D, VA WESTERN NY HEALTHCARE SYSTEM, BUFFALO, NY 14215
(716) 862-6506
(716) 862-8640
Mailing address
160 LITTLE ROBIN RD, AMHERST, NY 14228-1123
(716) 688-0931
(716) 862-8640

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F-332481
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02119831
NY
Enumeration date
05/04/2006
Last updated
07/08/2007
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