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EDITH EUGENIA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1370 NIAGARA FALLS BLVD, TONAWANDA, NY 14150-8431
(716) 831-1800
Mailing address
55 DODGE RD, GETZVILLE, NY 14068-1205

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
303729
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405187-01
NY

Other

Enumeration date
02/28/2007
Last updated
01/05/2026
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