Provider Demographics
NPI:1528122744
Name:WESLOW, BETH ANN (AGPCNP)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANN
Last Name:WESLOW
Suffix:
Gender:F
Credentials:AGPCNP
Other - Prefix:
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Mailing Address - Street 1:4979 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-2547
Mailing Address - Country:US
Mailing Address - Phone:716-923-4380
Mailing Address - Fax:716-923-4384
Practice Address - Street 1:6970 ERIE RD
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:NY
Practice Address - Zip Code:14047-9591
Practice Address - Country:US
Practice Address - Phone:716-947-9147
Practice Address - Fax:716-947-5175
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2023-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY267855164W00000X
NY311217363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No164W00000XNursing Service ProvidersLicensed Practical Nurse