Kristi Lynne Wiedeman, LPN
NPI #1376008946 in Morrisonville, New York
Provider Information
- NPI Number
- 1376008946
- Entity Type
- Individual
- Name
- Kristi Lynne Wiedeman, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Feb 7, 2019
- Last Updated
- Feb 7, 2019
Practice Location
- Address
- 950 MASON ST
- City
- Morrisonville
- State
- New York
- ZIP Code
- 12962-3611
- Phone
- (505) 699-8136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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