Annette Marie Wiesner, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F331330 Issued in NY

Practice address

225 Vestal Pkwy E
Vestal, NY 13850-1629

Phone

(607) 752-2692

NPI assigned

Mar 4, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1174158695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BUNN HILL RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138505913",
            "telephone_number": "607-624-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501629",
            "telephone_number": "607-752-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESNER",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "T",
            "affiliation": "N",
            "endpointDescription": "text messaging- message delivery",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "AES-256",
            "address_1": "225 Vestal Pkwy E",
            "city": "Vestal",
            "state": "NY",
            "country_code": "US",
            "postal_code": "138501629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily A West, FNP-C
• Andrea Marie Westbrook
• Stephanie Robin Westphal, OPTICIAN
• Ryan Whinery
• Andrew J Whittock, RPA-C
• Elise Sonja Wilhelm, PHARM.D.
• Jeannie L Williams
• Lydia Robin Williams
• Quyen Williams, PHARM.D.
• Catherine Ann Willis, MA, CCC-SLP

• Family Nurse Practitioner in Vestal, NY
• Providers in Vestal, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.