Individual
MISS DANA LEIGH WIESENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6 N DORCAS ST, LEWISTOWN, PA 17044-1737
(717) 953-9571
(717) 953-9576
Mailing address
6 N DORCAS ST, LEWISTOWN, PA 17044-1737
(717) 953-9571
(717) 953-9576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107626
FL
363AM0700X
Medical Physician Assistant
PA9107626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010979900
—
FL
01
—
3EOZF
BCBS
FL
01
—
5009736.
AVMED
FL
01
—
5181955
AETNA
FL
01
—
8KL5R
BCBS
FL
01
—
P01744113
RR MEDICARE
FL
01
—
P1046279
FREEDOM
FL
01
—
P979555
OPTIMUM
FL
Enumeration date
11/25/2013
Last updated
08/10/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us