Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marilyn A Wiedemann

Individual provider Administrator Registered Nurse · NPI 1164048682

Marilyn A Wiedemann is an Administrator Registered Nurse in San Diego, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

12089 Meriden Ln
San Diego, CA 92128-4339
Phone: (858) 405-8502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence 244179 (CA)

Record details

NPI number1164048682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2020
Last updated in NPPESNovember 27, 2023
Certification dateJune 20, 2020

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