LORA WIESEN

GRAND ISLAND, NE
NPI1700500782
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NE  114201)
Enumeration Date2022-10-03
Last Update Date2022-10-03
Business Address
Mrs. LORA WIESEN NP
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660
Mailing Address
Mrs. LORA WIESEN NP
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660