Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F303306-1 | NY |
NPI | 1023201480 |
---|---|
Provider Name | Sandra E Wheeler |
First Address | Cohoes, NY 12047-4118 |
Second Address | Buffalo, NY 14210-1351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 25/10/2019 |