Wiese, Laura Marie

Wiese, Laura Marie is an individual health care provider with primary practice located at 3100 Martin Luther King Jr Pkwy , Springfield OR 97477-7514. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wiese, Laura Marie can be contacted via phone (541) 868-9700.

Contact Information

Primary practice address
3100 Martin Luther King Jr Pkwy Springfield OR 97477-7514
Phone: (541) 868-9700
Fax: (541) 485-7392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 100002649 Oregon

Profile Details

NPI number 1720485329
LBN Legal business name Wiese, Laura Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2014
Last updated Aug 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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