Individual
SIERRA KENDRA KATHERINE WIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
323 N 7TH AVE, BROKEN BOW, NE 68822-1718
(308) 872-2475
Mailing address
323 N 7TH AVE, BROKEN BOW, NE 68822-1718
(308) 872-6821
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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