Wiesel, Kendra Beth

Wiesel, Kendra Beth is an individual health care provider with primary practice located at 3300 Main St 4Th Floor, Suite D, Springfield MA 01107-1112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wiesel, Kendra Beth can be contacted via phone (413) 794-7045.

Contact Information

Primary practice address
3300 Main St 4Th Floor, Suite D Springfield MA 01107-1112
Phone: (413) 794-7045
Fax: (413) 794-7345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000265 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 254280 Massachusetts

Profile Details

NPI number 1750481149
LBN Legal business name Wiesel, Kendra Beth
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Sep 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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