Individual
OLIVIA ANN WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
351 FARGO AVE, BUFFALO, NY 14213-2442
(716) 474-0852
Mailing address
351 FARGO AVE, BUFFALO, NY 14213-2442
(716) 474-0852
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
709215
NY
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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