National Provider Identifier
Nicole Ashley Wagner
Nicole Ashley Wagner is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 568-3600.
Profile Overview
- NPI
- 1780340356
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- November 09, 2021
- Last Updated
- November 09, 2021
Practice Location
- 1540 Maple RD
- Williamsville, NY 14221-3647
Phone: (716) 568-3600
Mailing Address
- PO Box 8000 Dept 233
- Buffalo, NY 14267-0001
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1780340356
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Nicole
- Middle Name
- Ashley
- Mailing Street Address
- PO Box 8000 Dept 233
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14267-0001
- Mailing Country
- US
- Practice Street Address
- 1540 Maple RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3647
- Practice Country
- US
- Practice Phone
- (716) 568-3600
- Enumeration Date
- November 09, 2021
- Last Updated
- November 09, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 09, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)