Shannon Elizabeth Wiedeman is a Psychiatric/Mental Health Registered Nurse based in Enterprise, OR and is specialized in Psychiatric/Mental Health. Shannon Elizabeth Wiedeman practices in Enterprise, OR and has the professional credentials of NPANDRN. The NPI Number for Shannon Elizabeth Wiedeman is 1255596607 and holds a License No. 201050225NP (Oregon).
The current practice location address for Shannon Elizabeth Wiedeman is 207 Sw 1St St, Enterprise, OR and can be reached out via phone at 541-426-0801 and via fax at 541-426-0802.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500641038 | 05 | OR | |
| O10244476AA | 01 | OR | REGENCE BLUE CROSS BLUE SHIELD |
| 383864 | 01 | OR | MEDICARE RHC |
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