Individual
MAKAYLA WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4800 HOSPITAL PKWY, BEATRICE, NE 68310-6906
(402) 223-7218
(402) 223-7297
Mailing address
4800 HOSPITAL PKWY, BEATRICE, NE 68310-6906
(402) 228-3344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111784
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111784
LICENSE
NE
Enumeration date
02/06/2015
Last updated
03/02/2023
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