National Provider Identifier

Cristin Wilde, LPN

Cristin Wilde, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 894-7777.

NPI 1114369527Cheektowaga, NYLicensed Practical Nurse

Profile Overview

NPI
1114369527
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 26, 2013
Last Updated
July 26, 2013

Practice Location

  • 1680 Walden Ave
  • Cheektowaga, NY 14225-4914

Phone: (716) 894-7777

Mailing Address

  • 3807 Cornell St
  • Hamburg, NY 14075-2719

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1114369527
Entity Type
Individual
Last Name
Wilde
First Name
Cristin
Credential
LPN
Mailing Street Address
3807 Cornell St
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-2719
Mailing Country
US
Mailing Phone
(716) 208-0232
Practice Street Address
1680 Walden Ave
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4914
Practice Country
US
Practice Phone
(716) 894-7777
Practice Fax
(716) 894-0604
Enumeration Date
July 26, 2013
Last Updated
July 26, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)