National Provider Identifier
Lydia Marie Wishman
Lydia Marie Wishman is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 341-5504.
Profile Overview
- NPI
- 1275498628
- Provider Type
- Individual
- Primary Specialty
- Gerontology Nurse Practitioner
- Enumeration Date
- December 18, 2025
- Last Updated
- December 18, 2025
Practice Location
- 665 Elm St
- Buffalo, NY 14203-1104
Phone: (716) 341-5504
Mailing Address
- Elm And Carlton St
- Buffalo, NY 14263-0001
Specialties
- Gerontology Nurse Practitioner (363LG0600X)
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1275498628
- Entity Type
- Individual
- Last Name
- Wishman
- First Name
- Lydia
- Middle Name
- Marie
- Mailing Street Address
- Elm And Carlton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14263-0001
- Mailing Country
- US
- Practice Street Address
- 665 Elm St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1104
- Practice Country
- US
- Practice Phone
- (716) 341-5504
- Enumeration Date
- December 18, 2025
- Last Updated
- December 18, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 18, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gerontology Nurse Practitioner (363LG0600X), Nurse Practitioner (363L00000X)