Individual
JOANNE WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
292 MAIN ST, EAST AURORA, NY 14052-1650
(716) 652-1560
(716) 652-0018
Mailing address
292 MAIN ST, EAST AURORA, NY 14052-1650
(716) 652-1560
(716) 652-0018
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F340078
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00021055401
UNIVERA
NY
01
—
000560610002
BC/BS
NY
01
—
9512525
IHA
NY
01
—
BA1293
FACILITY PIN
NY
Enumeration date
04/11/2006
Last updated
05/03/2011
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