Individual
SANDY GAY WIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8887
Mailing address
18109 PRINCE PHILIP DR, OLNEY, MD 20832-1519
(301) 774-8962
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R205784
MD
Other
Enumeration date
05/01/2020
Last updated
10/28/2025
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