Ms. Kimberley Alexandria Wilson
Nurse Practitioner - Adult Health Nurse Practitioner - Women's Health
300 Niagara St
Buffalo
, New York 14201-2135
Ms. Kimberley Alexandria Wilson
Nurse Practitioner - Adult Health Nurse Practitioner - Women's Health
300 Niagara St
Buffalo
, New York 14201-2135
(716) 289-5608
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Ms. Kimberley Alexandria Wilson
- 78 Raintree Is Apt #8
- Tonawanda, NY
- Zip : 14150-9539
- Phone : (716) 289-5608
Second Address
- Ms. Kimberley Alexandria Wilson
- 300 Niagara St
- Buffalo, NY
- Zip : 14201-2135
- Phone : (716) 859-5600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 30305333 | NY |
| N | 363LW0102X | Nurse Practitioner - Women's Health | 42420977 | NY |
National Provider Identifier
| NPI | 1033432893 |
|---|---|
| Provider Name | Ms. Kimberley Alexandria Wilson |
| First Address | Tonawanda, NY 14150-9539 |
| Second Address | Buffalo, NY 14201-2135 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2010 |
| Last Update Date | 09/03/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.