National Provider Identifier

Linda Elizabeth Wieselquist, FNP

Linda Elizabeth Wieselquist, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 277-2365.

NPI 1609583749Ithaca, NYFamily Nurse Practitioner

Profile Overview

NPI
1609583749
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
October 28, 2022
Last Updated
October 28, 2022

Practice Location

  • 1301 Trumansburg RD Ste P
  • Ithaca, NY 14850-1397

Phone: (607) 277-2365

Mailing Address

  • 533 Brooktondale RD
  • Brooktondale, NY 14817-9401

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1609583749
Entity Type
Individual
Last Name
Wieselquist
First Name
Linda
Middle Name
Elizabeth
Credential
FNP
Mailing Street Address
533 Brooktondale RD
Mailing City
Brooktondale
Mailing State
NY
Mailing ZIP Code
14817-9401
Mailing Country
US
Mailing Phone
(607) 592-8807
Practice Street Address
1301 Trumansburg RD Ste P
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1397
Practice Country
US
Practice Phone
(607) 277-2365
Enumeration Date
October 28, 2022
Last Updated
October 28, 2022
Sex
Female
Sole Proprietor
No
Certification Date
October 28, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)