Jackie Wiedemann is a Family in Arcata, California. Jackie Wiedemann practices all healthcare services and medical treatments related to Family. The NPI Number for Jackie Wiedemann is 1780731778. The last update date is 2007-07-08.
Jackie Wiedemann's current location address is 1 Harpst St, Arcata, California. You can contact this provider via phone number 7078263146. The mailing address for Jackie Wiedemann is 1 Harpst St, Arcata, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jackie Wiedemann |
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Address | 1 Harpst St, Arcata, California |
Phone Number | 7078263146 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1780731778 |
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Provider Enumeration Date | 2007-01-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1 Harpst St |
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City | Arcata |
State | California (CA) |
Post Code | 955218222 |
Phone Number | 7078263146 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 333007 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identifier code assigned to Jackie Wiedemann by the Centers for Medicare & Medicaid Services?
The Jackie Wiedemann has been issued the NPI (National Provider Identifier) 1780731778 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jackie Wiedemann is located?
The Jackie Wiedemann is situated at the following address: 1 Harpst St, Arcata, CA, 955218222.
What is the Jackie Wiedemann's area of specialization and corresponding taxonomy classification?
The Jackie Wiedemann's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did Jackie Wiedemann receive its 1780731778 assignment from the Centers for Medicare & Medicaid Services?
The Jackie Wiedemann was assigned its 1780731778 on 2007-01-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jackie Wiedemann's information last updated?
The Jackie Wiedemann's information was last updated on 2007-07-08.