Healthcare Provider Details

I. General information

NPI: 1861571374
Provider Name (Legal Business Name): ADRIENNE JOY WOIKE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 YOUNGS RD
BUFFALO NY
14221-2698
US

IV. Provider business mailing address

168 WINDERMERE BLVD
BUFFALO NY
14226-3043
US

V. Phone/Fax

Practice location:
  • Phone: 716-636-8284
  • Fax: 716-829-3008
Mailing address:
  • Phone: 917-414-8529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP30007224
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number101.0073435
License Number StateVT
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number421356
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: