Wiesen, Diem

Wiesen, Diem is an individual health care provider with primary practice located at 1619 Broad Winged Hawk Dr , Ruskin FL 33570-4955. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wiesen, Diem can be contacted via phone (440) 590-3071.

Contact Information

Primary practice address
1619 Broad Winged Hawk Dr Ruskin FL 33570-4955
Phone: (440) 590-3071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9508713 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11003120 Florida

Profile Details

NPI number 1720637556
LBN Legal business name Wiesen, Diem
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2019
Last updated Sep 4th, 2019 - about 5 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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