Individual
KRISTAN KAY WIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1020 S EXTENSION RD, MESA, AZ 85210-3420
(480) 472-1200
(480) 472-1230
Mailing address
4131 E SAN ANGELO AVE, GILBERT, AZ 85234-0332
(480) 695-0053
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN054753
AZ
Other
Enumeration date
10/05/2017
Last updated
03/17/2018
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