National Provider Identifier
Ashley L Wyant, PA-C
Ashley L Wyant, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 529-2030.
Profile Overview
- NPI
- 1003285552
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 15, 2015
- Last Updated
- November 06, 2019
Practice Location
- 1021 Broadway St
- Buffalo, NY 14212-1460
Phone: (716) 529-2030
Mailing Address
- 184 Barton St
- Buffalo, NY 14213-1573
Specialties
- Physician Assistant (363A00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1003285552
- Entity Type
- Individual
- Last Name
- Wyant
- First Name
- Ashley
- Middle Name
- L
- Credential
- PA-C
- Provider Other Last Name
- Neisen
- Provider Other First Name
- Ashley
- Provider Other Middle Name
- Lyn
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 184 Barton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1573
- Mailing Country
- US
- Mailing Phone
- (716) 881-6191
- Mailing Fax
- (716) 881-6247
- Practice Street Address
- 1021 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1460
- Practice Country
- US
- Practice Phone
- (716) 529-2030
- Enumeration Date
- September 15, 2015
- Last Updated
- November 06, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Family Medicine Physician (207Q00000X)
- Other Identifiers
- 05022115 (NY)