Individual provider · Type 1 NPI

Mary Therese Sorensen Wiederhold

Primary Care Nurse Practitioner · Maumee, OH

NPI number 1598683021 Active

Practice location

805 Askin St
Maumee, OH 43537-3603

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAPRN.CNP.0042672 (OH)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1598683021

Mary Therese Sorensen Wiederhold's National Provider Identifier is 1598683021, issued on Jul 10, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Maumee, OH. The record was last updated on Jul 10, 2026.