National Provider Identifier
Diane M Wizeman
Diane M Wizeman is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse in Bath, NY and a listed phone number of (607) 664-4000.
Profile Overview
- NPI
- 1750493201
- Provider Type
- Individual
- Primary Specialty
- General Practice Registered Nurse
- Enumeration Date
- August 31, 2006
- Last Updated
- July 08, 2007
Practice Location
- 76 Veterans Ave
- Bath, NY 14810-0810
Phone: (607) 664-4000
Mailing Address
- 253 E 2Nd St
- Corning, NY 14830-3301
Specialties
- General Practice Registered Nurse (163WG0000X)
Full Record
- NPI
- 1750493201
- Entity Type
- Individual
- Last Name
- Wizeman
- First Name
- Diane
- Middle Name
- M
- Mailing Street Address
- 253 E 2Nd St
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-3301
- Mailing Country
- US
- Mailing Phone
- (607) 936-0209
- Practice Street Address
- 76 Veterans Ave
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-0810
- Practice Country
- US
- Practice Phone
- (607) 664-4000
- Enumeration Date
- August 31, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Registered Nurse (163WG0000X)