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Contact Information

JUDY N WILBURN, FNP
ROME CBOC OF THE SYRACUSE VA
125 BROOKLEY AVE.
ROME, NY13441
 Phone: 315-334-7100
 Fax: 315-334-7171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JUDY N WILBURN · (Female)

NPI Number 1396769048
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 07/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # F330964-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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