CLAREEN AUFDERHEIDE WIENCEK ACNP NPI 1073602850

NPI Information

NPI: 1073602850
Provider Name: CLAREEN AUFDERHEIDE WIENCEK, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1240 LEE ST
CHARLOTTESVILLE, VA
ZIP 22908
Phone: (434) 243-3922
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Clareen Aufderheide Wiencek, ACNP is an acute care nurse practitioner in Charlottesville, VA. Clareen Aufderheide Wiencek, ACNP NPI is 1073602850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1240 LEE ST
CHARLOTTESVILLE, VA
ZIP 22908-001
Phone: (434) 243-3922
Fax: (434) 244-9406

The NPI 1073602850 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 5/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	NP-06669	OHIO	No
2	363LA2100X	Nurse Practitioner	Acute Care	0024169629	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2944578	MEDICAID	OHIO
2	P00723797	MEDICARE PIN	OHIO
3	WINP29191	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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