Shannon Elizabeth Wiedeman, NP AND RN
NPI #1255596607 in Enterprise, Oregon
Provider Information
- NPI Number
- 1255596607
- Entity Type
- Individual
- Name
- Shannon Elizabeth Wiedeman, NP AND RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health
- Credential
- NP AND RN
- Enumeration Date
- Jul 25, 2008
- Last Updated
- Apr 5, 2016
Practice Location
- Address
- 207 SW 1ST ST
- City
- Enterprise
- State
- Oregon
- ZIP Code
- 97828-1203
- Phone
- (541) 426-0801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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