Individual provider · Type 1 NPI
John Richard Wisniewski Jr.
Student in an Organized Health Care Education/Training Program · Lewiston, ID
NPI number
1497605901
Active
Practice location
1331 G St
Lewiston, ID 83501-1964
Mailing address
721 Brent Dr
Moscow, ID 83843-8519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3 other providers at this address
About NPI 1497605901
John Richard Wisniewski Jr.'s National Provider Identifier is 1497605901, issued on Feb 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lewiston, ID. The record was last updated on Feb 3, 2026.