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Individual
VICTORIA A WIESNER
Active
Individual
VICTORIA A WIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP013316
PA
363LF0000X
Family Nurse Practitioner
Primary
SP013316
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031007550001
—
PA
Enumeration date
11/07/2013
Last updated
09/24/2024
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