Individual
PAULA LYNNE WIESEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 373-5031
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 373-5031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
123435
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2013042951
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424914703
—
MO
Enumeration date
03/27/2007
Last updated
03/30/2022
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