Shannon Elizabeth Wiedeman is a Enterprise, Oregon based nurse practitioner who is specialized as Adult Health nurse. Active license number of Shannon Elizabeth Wiedeman is 201043506RN in Oregon. Her current practice location is 207 Sw 1st St, Enterprise. Patients can reach her at 541-426-0801 or can fax her at 541-426-0802. Shannon Elizabeth Wiedeman is NP AND RN with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1255596607. Shannon Elizabeth Wiedeman can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Shannon Elizabeth Wiedeman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1255596607
NPI Enumeration Date:
25 Jul, 2008
NPI Last Update On:
05 Apr, 2016
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Elizabeth Wiedeman are as mentioned below.
License Number
Specialization
State
Status
201043506RN
Oregon
Primary
201050225NP
Adult Health
Oregon
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Shannon Elizabeth Wiedeman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500641038
Medicaid
Oregon
O10244476AA
Other
Oregon
REGENCE BLUE CROSS BLUE SHIELD
383864
Other
Oregon
MEDICARE RHC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shannon Elizabeth Wiedeman 207 Sw 1st St, Enterprise, Oregon
Zip:
97828-1203
Phone Number:
541-426-4524
Fax Number:
541-426-3035
Patients can reach Shannon Elizabeth Wiedeman at 207 Sw 1st St, Enterprise, Oregon or can call to book an appointment on 541-426-0801.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.