Individual provider · Type 1 NPI
Kelly K. Wietecha, CNP
Adult Health Nurse Practitioner · Detroit, MI
NPI number
1982642054
Active
Practice location
Harper Professional Bldg Ste 1007, 4160 John R
Detroit, MI 48201
Mailing address
3800 Woodward Ave, Suite 702
Detroit, MI 48201-2061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704176683 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1982642054
Kelly K. Wietecha, CNP's National Provider Identifier is 1982642054, issued on Jun 2, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Detroit, MI. The record was last updated on Jul 13, 2026.