Individual provider · Type 1 NPI

Jeanne Ray Wiedemann, NNP-BC

Neonatal Nurse Practitioner · Phoenix, AZ

NPI number 1861728495 Active

Practice location

7720 N 16th St, Ste 425
Phoenix, AZ 85020-4492

Fax (623) 643-9236

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner 363LN0000XC-APN-0107560-C-NP (CO)
Neonatal Nurse Practitioner Primary 363LN0000XAP2464 (AZ)
Registered Nurse 163W00000XRN080027 (AZ)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1861728495

Jeanne Ray Wiedemann, NNP-BC's National Provider Identifier is 1861728495, issued on Nov 2, 2009. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 12, 2026.