National Provider Identifier

Katie Marie Wigdorski, FNP

Katie Marie Wigdorski, FNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1184903379Buffalo, NYNurse Practitioner

Profile Overview

NPI
1184903379
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
August 05, 2011
Last Updated
February 12, 2021

Practice Location

  • Elm And Carlton St
  • Buffalo, NY 14263

Phone: (716) 845-2300

Mailing Address

  • Elm And Carlton St
  • Buffalo, NY 14263-0001

Specialties

  • Nurse Practitioner (363L00000X)
  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1184903379
Entity Type
Individual
Last Name
Wigdorski
First Name
Katie
Middle Name
Marie
Credential
FNP
Provider Other Last Name
Newell
Provider Other First Name
Katie
Provider Other Middle Name
Marie
Provider Other Last Name Type Code
1
Mailing Street Address
Elm And Carlton St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263-0001
Mailing Country
US
Mailing Phone
(716) 845-2300
Mailing Fax
(716) 845-8057
Practice Street Address
Elm And Carlton St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263
Practice Country
US
Practice Phone
(716) 845-2300
Practice Fax
(716) 845-8057
Enumeration Date
August 05, 2011
Last Updated
February 12, 2021
Sex
Female
Sole Proprietor
No
Certification Date
February 12, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X), Family Nurse Practitioner (363LF0000X)
Other Identifiers
03378489 (NY)