Individual provider · Type 1 NPI
Marilyn A. Wiedemann
Administrator Registered Nurse · San Diego, CA
NPI number
1164048682
Active
Practice location
12089 Meriden Ln
San Diego, CA 92128-4339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 244179 (CA) |
Administrator Registered Nurse: Definition to come...
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About NPI 1164048682
Marilyn A. Wiedemann's National Provider Identifier is 1164048682, issued on Jun 20, 2020. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in San Diego, CA. The record was last updated on Nov 27, 2023.