Individual
CANDACE G WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 NOYES ST, UTICA, NY 13502-3854
(315) 797-6800
Mailing address
42 ARBOR DR, NEW HARTFORD, NY 13413-1202
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301444
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301444
—
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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