Provider Demographics
NPI:1083672240
Name:ARNET, WILLA (NP)
Entity Type:Individual
Prefix:
First Name:WILLA
Middle Name:
Last Name:ARNET
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7954 TRANSIT RD STE 134
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4117
Mailing Address - Country:US
Mailing Address - Phone:716-429-3344
Mailing Address - Fax:949-655-8750
Practice Address - Street 1:461 JOHN JAMES AUDUBON PKWY
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14228-1141
Practice Address - Country:US
Practice Address - Phone:716-429-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF302128363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY005603732OtherHEALTH NOW
NY00026555801OtherEXCELLUS UNIVERA
NY02094902Medicaid
NY9512075OtherINDEPENDENT HEALTH
NY02094902Medicaid
500015494Medicare PIN
NY9512075OtherINDEPENDENT HEALTH