Individual
GRETA I WIENER FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
164832
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365190
—
MA
01
—
NP4484
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/12/2010
Last updated
05/11/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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