Individual
ANNETTE MARIE WIESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
225 VESTAL PKWY E, VESTAL, NY 13850-1629
(607) 752-2692
Mailing address
302 BUNN HILL RD, VESTAL, NY 13850-5913
(607) 624-0351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331330
NY
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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