Individual
WILLIAM WIETIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
(910) 738-3764
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 671-5290
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
102562
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104958412
—
NC
05
—
913284816
—
MO
Enumeration date
03/12/2007
Last updated
04/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us