Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JOANNA ELISE WIESE
ActiveMS. JOANNA ELISE WIESE is a Prescribing Psychologist healthcare provider located in MOUNTAIN HOME AFB, Idaho. NPI 1063711869 is currently active in the NPPES registry. Verify at CMS.
Prescribing Psychologist · MOUNTAIN HOME AFB, ID
Registration Details
- NPI Number
- 1063711869
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 18, 2011 (15.42605473544 yrs)
- Last Updated
- Oct 16, 2025
- License
-
203430 (ID)
Practice Information
- Address
-
90 HOPE DR BLDG 6000MOUNTAIN HOME AFB, ID, 836481062Browse ID providers · Browse ZIP 83648
- Phone
- 2088287581
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.