Individual
ELIZABETH WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
405 3RD ST NW STE 102&103, GREAT FALLS, MT 59404
(406) 430-2035
Mailing address
405 3RD ST NW STE 102&103, GREAT FALLS, MT 59404-4111
(406) 430-2035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP142113
TX
363LF0000X
Family Nurse Practitioner
NUR-RN-LIC-47201
MT
363LF0000X
Family Nurse Practitioner
T219923
TX
Other
Enumeration date
01/16/2015
Last updated
09/05/2024
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