Individual
MRS. SHERON LORRAINE WIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N. C.D.E.
Contact information
Practice address
1701 S SHACKLEFORD RD, LITTLE ROCK, AR 72211-4335
(501) 219-7281
(501) 219-7909
Mailing address
4703 RIDGE RD, NORTH LITTLE ROCK, AR 72116-7108
(501) 291-7281
(501) 219-7909
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R44528
AR
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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