Individual provider · Type 1 NPI

Tara Wiesner, MSN, CCM

Case Management Registered Nurse · Houston, TX

NPI number 1245059450 Active

Practice location

12337 Jones Rd Ste 100
Houston, TX 77070-4844

Call (303) 570-0134 Map

Fax (877) 747-9662

Mailing address

1852 Parkdale Cir S
Erie, CO 80516-2407

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X0140447 (CO)

Case Management Registered Nurse: Definition to come...

2 other providers at this address

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About NPI 1245059450

Tara Wiesner, MSN, CCM's National Provider Identifier is 1245059450, issued on Oct 4, 2024. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Houston, TX. The record was last updated on Oct 4, 2024.