Individual
KATIE B WIERINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-5318
(419) 291-6430
Mailing address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-5318
(419) 291-6430
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704250648
MI
363LN0005X
Critical Care Neonatal Nurse Practitioner
4704250648
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057181
—
OH
Enumeration date
11/08/2011
Last updated
06/23/2015
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