MS. Joanna Elise Wiese
NPI #1063711869 in Mountain Home Afb, Idaho
Provider Information
- NPI Number
- 1063711869
- Entity Type
- Individual
- Name
- MS. Joanna Elise Wiese
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Prescribing (Medical)
- Enumeration Date
- Mar 18, 2011
- Last Updated
- Oct 16, 2025
Practice Location
- Address
- 90 HOPE DR BLDG 6000
- State
- Idaho
- ZIP Code
- 83648-1062
- Phone
- (208) 828-7581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Prescribing (Medical) — Prescribing (Medical) |
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Organizations
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|---|---|
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