Deirdre Fuller Wiesner, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344212303 Issued in NH

Practice address

19 Farrington Corner Rd
Hopkinton, NH 03229-2020

Phone

(603) 228-7575

Fax

(603) 228-7585

NPI assigned

Jun 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1386682300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FARRINGTON CORNER RD",
            "city": "HOPKINTON",
            "state": "NH",
            "postal_code": "032292020",
            "telephone_number": "603-228-7575",
            "fax_number": "603-228-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FARRINGTON CORNER RD",
            "city": "HOPKINTON",
            "state": "NH",
            "postal_code": "032292020",
            "telephone_number": "603-228-7575",
            "fax_number": "603-228-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER WIESNER",
        "first_name": "DEIRDRE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "344212303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Durand, MD
• Ellen Eberhart, MA, LCMHC, MLADC
• Maryann Evers, LICSW
• Andrea L Fitzgerald, APRN
• Tammie Marie Fredette, LMT
• Geromed PC
• Geromed PC
• Alyssa C Herron, PA-C
• Hopkinton School District
• Roger Horne, CRNA

• Family Nurse Practitioner in Hopkinton, NH
• Providers in Hopkinton, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.