Individual provider · Type 1 NPI
Mary E. Wiesen, NP
Pediatric Nurse Practitioner · Madison, WI
NPI number
1801130190
Active
Practice location
600 Highland Ave
Madison, WI 53792-4874
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 170103 (WI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1801130190
Mary E. Wiesen, NP's National Provider Identifier is 1801130190, issued on Nov 27, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Madison, WI. The record was last updated on Oct 24, 2022.