Individual
WHITNEY WIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95026557
CA
Other
Enumeration date
08/09/2023
Last updated
11/16/2023
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