Individual provider · Type 1 NPI

Shannon Elizabeth Wiedeman, NP AND RN

Psychiatric/Mental Health Registered Nurse · Enterprise, OR

NPI number 1255596607 Active

About NPI 1255596607

Shannon Elizabeth Wiedeman, NP AND RN's National Provider Identifier is 1255596607, issued on Jul 25, 2008. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Enterprise, OR. The record was last updated on Apr 5, 2016.