Individual
NICOLE MARIE WIENCLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8 ESSEX WAY STE 201, ESSEX, VT 05452-3422
(802) 872-7100
Mailing address
8 ESSEX WAY STE 201, ESSEX, VT 05452-3422
(802) 872-7100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0135034
VT
363LF0000X
Family Nurse Practitioner
348676
NY
Other
Enumeration date
11/23/2021
Last updated
12/08/2022
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