National Provider Identifier
Casey Marie Wild, NP
Casey Marie Wild, NP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 323-0170.
Profile Overview
- NPI
- 1881845980
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- October 07, 2008
- Last Updated
- February 22, 2021
Practice Location
- 1001 Main St Fl 4
- Buffalo, NY 14203-1009
Phone: (716) 323-0170
Mailing Address
- 1001 Main St Fl 5
- Buffalo, NY 14203-1009
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1881845980
- Entity Type
- Individual
- Last Name
- Wild
- First Name
- Casey
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- NP
- Mailing Street Address
- 1001 Main St Fl 5
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1009
- Mailing Country
- US
- Mailing Phone
- (716) 323-0170
- Mailing Fax
- (716) 323-0297
- Practice Street Address
- 1001 Main St Fl 4
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1009
- Practice Country
- US
- Practice Phone
- (716) 323-0170
- Practice Fax
- (716) 323-0297
- Enumeration Date
- October 07, 2008
- Last Updated
- February 22, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 22, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)
- Other Identifiers
- 03057545 (NY)