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Individual
ANDREA WIEDER
Active
Individual
ANDREA WIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00739000
NJ
363LF0000X
Family Nurse Practitioner
277003768
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00739000
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN282557
MA
363LP2300X
Primary Care Nurse Practitioner
RN1016374
DC
Other
Enumeration date
12/14/2016
Last updated
07/29/2026
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