Individual
JEANNE RAY WIEDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
7720 N 16TH ST, STE 425, PHOENIX, AZ 85020-4492
(602) 476-8962
(623) 643-9236
Mailing address
7720 N 16TH ST, STE 425, PHOENIX, AZ 85020-4492
(602) 476-8962
(623) 643-9236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN080027
AZ
363LN0000X
Neonatal Nurse Practitioner
Primary
AP2464
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
575555
—
AZ
Enumeration date
11/02/2009
Last updated
10/13/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us