Abigail S Wieman, FNP
Nurse Practitioner, Family in Boston, MA. Individual provider (NPI-1).
NPI number1104719087
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1104719087
- Entity type
- Individual (NPI-1)
- Name
- Abigail S Wieman
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2025
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN2345249 | MA | Yes |
| 163W00000X | Registered Nurse | RN2345249 | MA |
Practice location
300 Longwood AveBoston, MA 02115-5724
Phone 617-355-6000
Mailing address
300 Longwood AveBoston, MA 02115-5724
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