National Provider Identifier
Donna Ridley Wilber SR., PSYCHIATRIC MENTAL H
Donna Ridley Wilber SR., PSYCHIATRIC MENTAL H is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Branchport, NY and a listed phone number of (315) 759-1085.
Profile Overview
- NPI
- 1073662763
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- January 10, 2007
- Last Updated
- May 01, 2024
Practice Location
- 4020 Belknap Hill RD
- Branchport, NY 14418-9510
Phone: (315) 759-1085
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1073662763
- Entity Type
- Individual
- Last Name
- Wilber
- First Name
- Donna
- Middle Name
- Ridley
- Name Suffix
- SR.
- Credential
- PSYCHIATRIC MENTAL H
- Mailing Street Address
- 4020 Belknap Hill RD
- Mailing City
- Branchport
- Mailing State
- NY
- Mailing ZIP Code
- 14418-9510
- Mailing Country
- US
- Mailing Phone
- (315) 759-1085
- Practice Street Address
- 4020 Belknap Hill RD
- Practice City
- Branchport
- Practice State
- NY
- Practice ZIP Code
- 14418-9510
- Practice Country
- US
- Practice Phone
- (315) 759-1085
- Enumeration Date
- January 10, 2007
- Last Updated
- May 01, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 01, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Nurse Practitioner (363L00000X)