Leslie Wistisen
NPI #1063164200 in Broken Bow, Nebraska
Provider Information
- NPI Number
- 1063164200
- Entity Type
- Individual
- Name
- Leslie Wistisen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse's Aide
- Enumeration Date
- Jan 19, 2022
- Last Updated
- Jan 19, 2022
Practice Location
- Address
- 1135 N H ST
- City
- Broken Bow
- State
- Nebraska
- ZIP Code
- 68822-1262
- Phone
- (308) 872-2982
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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