Individual
DR. SANDRA K WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ARNP
Contact information
Practice address
1344 WINTERGREEN LN NE, BAINBRIDGE ISLAND, WA 98110-5147
(206) 842-5632
(206) 842-5992
Mailing address
1344 WINTERGREEN LN NE, BAINBRIDGE ISLAND, WA 98110-5147
(206) 842-5632
(206) 842-5992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00123774
WA
207Q00000X
Family Medicine Physician
AP30004398
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30004398
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497149546
—
WA
Enumeration date
03/26/2015
Last updated
10/05/2021
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