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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SARA NICOLE WIESE, RNC

Active Sole Proprietor

Neonatal Intensive Care Nurse · JOHNSTOWN, CO

Registration Details

NPI Number
1154681500
Provider Type
Individual
Gender
Female
NPI Issued
May 19, 2012 (13.924536154445 yrs)
Last Updated
May 19, 2012
Licenses
177265 (CO)
177265 (CO)
177265 (CO)
Sole Proprietor
Yes

Practice Information

Address
249 WYSS ST
JOHNSTOWN, CO, 805347493
Browse CO providers · Browse ZIP 80534
Phone
9703964039
Primary Specialty
Neonatal Intensive Care Nurse
163WN0002X
Additional Specialty
Neonatal Intensive Care Nurse
Additional Specialty
Neonatal Nurse
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.