Shannon Wiedeman, NP AND RN

Individual Active
NPI 1255596607
Psychiatric/Mental Health Registered Nurse Enterprise, OR

Shannon Wiedeman, NP AND RN holds NPI 1255596607, with a primary taxonomy of psychiatric/mental health registered nurse and a practice location in Enterprise, OR. The number was issued on July 25, 2008 and the NPPES record was last updated on April 5, 2016. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2016. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X 201043506RN (OR)
Adult Health Nurse Practitioner 363LA2200X 201050225NP (OR)

Practice location

207 SW 1st St
Enterprise, OR 97828-1203
Phone: (541) 426-0801

Local context

Active NPPES records list 1 provider with psychiatric/mental health registered nurse as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 283 in Oregon and 10,901 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Shannon Elizabeth Wiedeman
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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