Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colleen Mary Wirth, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1558946491

Colleen Mary Wirth, PHYSICIANASSISTANT is a Physician Assistant in Williamsville, New York. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

425 Essjay Rd Ste 180
Williamsville, NY 14221-5782
Phone: (716) 630-1140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1558946491
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 12, 2021
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

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