National Provider Identifier

Amanda Rose Wilson, NP

Amanda Rose Wilson, NP is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner in Rochester, NY and a listed phone number of (585) 723-7000.

NPI 1164025672Rochester, NYAcute Care Nurse Practitioner

Profile Overview

NPI
1164025672
Provider Type
Individual
Primary Specialty
Acute Care Nurse Practitioner
Enumeration Date
November 17, 2020
Last Updated
January 18, 2021

Practice Location

  • 89 Genesee St
  • Rochester, NY 14611-3201

Phone: (585) 723-7000

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Acute Care Nurse Practitioner (363LA2100X)
  • Critical Care Medicine Registered Nurse (163WC0200X)
  • Gerontology Nurse Practitioner (363LG0600X)
Full Record
NPI
1164025672
Entity Type
Individual
Last Name
Wilson
First Name
Amanda
Middle Name
Rose
Credential
NP
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 474-1224
Practice Street Address
89 Genesee St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-3201
Practice Country
US
Practice Phone
(585) 723-7000
Enumeration Date
November 17, 2020
Last Updated
January 18, 2021
Sex
Female
Sole Proprietor
No
Certification Date
January 18, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Acute Care Nurse Practitioner (363LA2100X), Critical Care Medicine Registered Nurse (163WC0200X), Gerontology Nurse Practitioner (363LG0600X)