National Provider Identifier
Marielle Rebecca Wiede, PA
Marielle Rebecca Wiede, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Amherst, NY and a listed phone number of (716) 688-6500.
Profile Overview
- NPI
- 1811454960
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 25, 2019
- Last Updated
- November 27, 2023
Practice Location
- 2350 Maple RD Ste 100
- Amherst, NY 14221-4080
Phone: (716) 688-6500
Mailing Address
- 4770 E Becker RD
- Collins, NY 14034-9761
Specialties
- Physician Assistant (363A00000X)
Endpoints
- marielle.wiede.1@19947.direct.athenahealth.com
Direct Messaging Address | Direct | Latus Primary Care Medicine, PLLC Dba Latus Medical Care | Amherst, NY 14221
Full Record
- NPI
- 1811454960
- Entity Type
- Individual
- Last Name
- Wiede
- First Name
- Marielle
- Middle Name
- Rebecca
- Credential
- PA
- Mailing Street Address
- 4770 E Becker RD
- Mailing City
- Collins
- Mailing State
- NY
- Mailing ZIP Code
- 14034-9761
- Mailing Country
- US
- Mailing Phone
- (716) 560-8831
- Practice Street Address
- 2350 Maple RD Ste 100
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14221-4080
- Practice Country
- US
- Practice Phone
- (716) 688-6500
- Enumeration Date
- February 25, 2019
- Last Updated
- November 27, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 12, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)