Wilson, Amanda N

Wilson, Amanda N is an individual health care provider with primary practice located at 3884 Broadway St , Cheektowaga NY 14227-1111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wilson, Amanda N can be contacted via phone (716) 681-9000.

Contact Information

Primary practice address
3884 Broadway St Cheektowaga NY 14227-1111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 018561 New York

Profile Details

NPI number 1467826776
LBN Legal business name Wilson, Amanda N
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2015
Last updated May 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467826776 NPPES
New York Other 8391586 CIGNA
New York Other 8204874 CIGNA

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