Individual
CARLI LILLIAN-ANN WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 HAZEL LN, SPRINGFIELD, NE 68059-5740
(402) 380-5904
Mailing address
730 N 10TH AVE, SPRINGFIELD, NE 68059-5738
(402) 618-9866
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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