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NPI Code Detail

MEDICARE: ROSE M WIENHOFF CRNP

MEDICARE: ROSE M WIENHOFF CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR073681MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326047630
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE M WIENHOFF CRNP
Provider Business Mailing Address
First Line : 610 SOLAREX CT
Second Line :
City : FREDERICK
State : MD
Zip : 21703-8624
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 610 SOLAREX CT
Second Line :
City : FREDERICK
State : MD
Zip : 21703-8624
Country : US
Telephone Number : 301-682-5500
Fax Number : 301-663-8557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 08/02/2016

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Directions to “ ROSE M WIENHOFF CRNP” Practice Location

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