| Doctor Name: | LUANN J WILDAY |
| NPI Number: | 1154621050 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 362128-1 |
| Business Practice Address: | 10879 Stickle Rd Freedom, NY - 140659533 |
| Business Phone Number: | 5855674337 |
| Business Fax Number: | |
| Mailing Address: | 10879 Stickle Rd, FREEDOM |
| State: | NY |
| Postal Code: | 140659533 |
| Phone Number: | 5855674337 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2010 |
| NPI Last Update Date: | 10/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | 362128-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |