Provider Demographics
NPI:1912119777
Name:WIELER, KRISTEN MCLENDON (RN, WHNP, CNP)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MCLENDON
Last Name:WIELER
Suffix:
Gender:F
Credentials:RN, WHNP, CNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:KRISTEN
Other - Last Name:MCLENDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6285 BARFIELD RD NE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4303
Mailing Address - Country:US
Mailing Address - Phone:404-303-1224
Mailing Address - Fax:404-303-1325
Practice Address - Street 1:4488 N SHALLOWFORD RD
Practice Address - Street 2:SUITE 210
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6413
Practice Address - Country:US
Practice Address - Phone:770-730-0451
Practice Address - Fax:770-730-0141
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN129437 NP163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory