Individual provider · Type 1 NPI

Brannon Elizabeth Wiedemann, MD

Student in an Organized Health Care Education/Training Program · New Orleans, LA

NPI number 1689916462 Active

Practice location

1542 Tulane Ave
New Orleans, LA 70112-2865

Call (504) 568-6004 Map

Mailing address

2028 Camp St
New Orleans, LA 70130-5032

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XMD.207587 (LA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1689916462

Brannon Elizabeth Wiedemann, MD's National Provider Identifier is 1689916462, issued on Mar 20, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Orleans, LA. The record was last updated on May 8, 2018.