Individual
AMY WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 MAPLE ST, DANSVILLE, NY 14437-9182
(585) 335-5052
Mailing address
12 NORTH ST, CANISTEO, NY 14823-1008
(607) 968-1182
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
279825-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161039939
ALL OTHER INSURANCES
NY
05
—
161039939
—
NY
Enumeration date
05/05/2021
Last updated
05/05/2021
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