Provider Demographics
NPI:1861571374
Name:WOIKE, ADRIENNE JOY (ARNP)
Entity type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:JOY
Last Name:WOIKE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 WINDERMERE BLVD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3043
Mailing Address - Country:US
Mailing Address - Phone:917-414-8529
Mailing Address - Fax:
Practice Address - Street 1:1020 YOUNGS RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14221-2698
Practice Address - Country:US
Practice Address - Phone:716-636-8284
Practice Address - Fax:716-829-3008
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007224363LW0102X
VT101.0073435363LW0102X
NY421356363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03993964Medicaid