Individual
ELAINA WIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN - FNP
Contact information
Practice address
770 W HIGH ST STE 240, LIMA, OH 45801-5906
(419) 996-2686
Mailing address
770 W HIGH ST STE 240, LIMA, OH 45801-5906
(419) 996-2686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0026847
OH
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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