MARILYN A WIEDEMANN NPI 1164048682

NPI Information

NPI: 1164048682
Provider Name: MARILYN A WIEDEMANN
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
12089 MERIDEN LN
SAN DIEGO, CA
ZIP 92128
Phone: (858) 405-8502
Get Directions

Marilyn A Wiedemann is an administrator registered nurse in San Diego, CA. Marilyn A Wiedemann NPI is 1164048682. 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:

12089 MERIDEN LN
SAN DIEGO, CA
ZIP 92128-339
Phone: (858) 405-8502

The enumeration date for this NPI number is 6/20/2020 and was last updated on 11/27/2023.

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	163WA2000X	Registered Nurse	Administrator	244179	CALIFORNIA	Yes

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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