AMANDA WIESE


Address: 3327 Elm Ave, Baltimore, MD 21211-2726
Phone: 2404238975

AMANDA WIESE (NPI# 1427410299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427410299
Entity Type Individual
Full Name AMANDA WIESE
Credential CRNP
Practice Address 3327 Elm Ave
Baltimore
MD 21211-2726
Practice Telephone 2404238975
Mailing Telephone 2404238975
Enumeration Date 2016-03-22
Last Update Date 2016-03-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R196773 MD Physician Assistants & Advanced Practice Nursing Providers

Other Providers AMANDA WIESE

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1083263776 Amanda Wiese Case Manager/Care Coordinator 1201 Terminal Way Ste 217, Reno, NV 89502-3258 2019-09-05
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Office Location

Street Address 3327 ELM AVE
City BALTIMORE
State MD
Zip Code 21211-2726

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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