Most Relevant Information
Provider Data
NPI Number: | 1003366709 |
Provider Name: | PATRICIA MAE WIELER NP |
Entity Type: | Individual |
Taxonomy Code: | 363LA2100X |
Specialty: | Nurse Practitioner |
License Number: | CNP161143 |
Most Important Dates
Enumeration Date: | 10/06/2016 |
Last Updated: | 10/26/2020 |
Provider Practice Location
818 CONGRESS ST
PORTLAND
ME
041023112
Practice Location Phone/Fax
Phone: | 2077738161 |
Fax: |
Provider Mailing Location
35 MEDICAL CENTER PKWY
AUGUSTA
ME
043308160
Provider Mailing Phone/Fax
Phone: | 2076261000 |
Fax: | 2076224085 |