| Doctor Name: | MRS. KATHARINE BETTE WIENER |
| NPI Number: | 1003189200 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED NURSE |
| License Number: | 206140 |
| Business Practice Address: | 4050 Avon Rd Geneseo, NY - 144549721 |
| Business Phone Number: | 5852433450 |
| Business Fax Number: | 5852433975 |
| Mailing Address: | 4050 Avon Rd, GENESEO |
| State: | NY |
| Postal Code: | 144549721 |
| Phone Number: | 5852433450 |
| Fax Number: | 5852433975 |
| NPI Enumeration Date: | 02/17/2012 |
| NPI Last Update Date: | 02/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 206140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |