| Doctor Name: | CHRIS WIELAND |
| NPI Number: | 1326227356 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-BC |
| License Number: | 3006074 |
| Business Practice Address: | 2885 Alexandria Pike Highland Heights, KY - 41076 |
| Business Phone Number: | 1800737790 |
| Business Fax Number: | 8593313382 |
| Mailing Address: | 2300 Chamber Center Dr, Suite 200 LAKESIDE PARK |
| State: | KY |
| Postal Code: | 410171673 |
| Phone Number: | 8593445481 |
| Fax Number: | 8593445552 |
| NPI Enumeration Date: | 10/26/2007 |
| NPI Last Update Date: | 09/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 3006074 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |