Provider Demographics
NPI:1760358733
Name:WOJCIECHOWSKI, ANN (FNP)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:WOJCIECHOWSKI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 WARSAW ST.
Mailing Address - Street 2:PO BOX 103
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-7099
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:165 WARSAW ST.
Practice Address - Street 2:PO BOX 103
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-7099
Practice Address - Country:US
Practice Address - Phone:716-536-6441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY358049363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily