National Provider Identifier
Shanice Wilson, NP
Shanice Wilson, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Amherst, NY and a listed phone number of (716) 923-4381.
Profile Overview
- NPI
- 1598573776
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- December 20, 2024
- Last Updated
- January 31, 2025
Practice Location
- 4979 Harlem RD
- Amherst, NY 14226-2547
Phone: (716) 923-4381
Mailing Address
- 5792 Main St
- Williamsville, NY 14221-5702
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1598573776
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Shanice
- Credential
- NP
- Mailing Street Address
- 5792 Main St
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5702
- Mailing Country
- US
- Mailing Phone
- (716) 923-4380
- Practice Street Address
- 4979 Harlem RD
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-2547
- Practice Country
- US
- Practice Phone
- (716) 923-4381
- Practice Fax
- (716) 923-4384
- Enumeration Date
- December 20, 2024
- Last Updated
- January 31, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 31, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X), Nurse Practitioner (363L00000X)