Individual
NADINE P WENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 RIVERSIDE DR APT 15C, NEW YORK, NY 10023-8022
(413) 237-0902
Mailing address
33 RIVERSIDE DR APT 15C, NEW YORK, NY 10023-8022
(413) 237-0902
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
134468-01
NY
207N00000X
Dermatology Physician
Primary
71759
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0304209
UNITED HEALTH CARE
—
01
—
070004064
RAILROAD MEDICARE
—
01
—
071759
TUFTS HEALTH PLANS
MA
01
—
17641
HEALTH NEW ENGLAND
MA
01
—
484187J597
CONNECTICARE
CT
01
—
WEN51739
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/28/2005
Last updated
02/19/2026
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