Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ANN WIETBROCK, RN MSN ACNS-BC
Active Sole ProprietorMARY ANN WIETBROCK, RN MSN ACNS-BC is a Clinical Nurse Specialist healthcare provider located in CUMBERLAND, Indiana. NPI 1336551175 is currently active in the NPPES registry. Verify at CMS.
Clinical Nurse Specialist · CUMBERLAND, IN
Registration Details
- NPI Number
- 1336551175
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2014 (12.256630931174 yrs)
- Last Updated
- Oct 17, 2024
- License
-
28088637A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 GRANBY DRCUMBERLAND, IN, 462294203Browse IN providers · Browse ZIP 46229
- Phone
- 3174109140
- Fax
- 3178611556
- Primary Specialty
-
Clinical Nurse Specialist
364S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.