Shannon Elizabeth Wiedeman, NP AND RN | |
207 Sw 1st St, Enterprise, OR 97828-1203 | |
(541) 426-0801 | |
(541) 426-0802 |
Full Name | Shannon Elizabeth Wiedeman |
---|---|
Gender | Female |
Speciality | Registered Nurse - Psychiatric/mental Health |
Location | 207 Sw 1st St, Enterprise, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255596607 | NPI | - | NPPES |
500641038 | Medicaid | OR | |
O10244476AA | Other | OR | REGENCE BLUE CROSS BLUE SHIELD |
383864 | Other | OR | MEDICARE RHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 201050225NP (Oregon) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 201043506RN (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shannon Elizabeth Wiedeman, NP AND RN 207 Sw 1st St, Enterprise, OR 97828-1203 Ph: (541) 426-4524 | Shannon Elizabeth Wiedeman, NP AND RN 207 Sw 1st St, Enterprise, OR 97828-1203 Ph: (541) 426-0801 |
Ms. Anna Mapes, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 207 Sw 1st St, Enterprise, OR 97828 Phone: 541-246-0801 | |
Michael Mcdonald, DNP, FNP-BC, BSN, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 306 W North St, Enterprise, OR 97828 Phone: 541-426-7171 | |
Kelly Louise Bigsby, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 606 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-4524 | |
Carolyn Jean Dawson, RNC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 207 Sw 1st St, Enterprise, OR 97828 Phone: 541-426-4524 Fax: 541-426-3035 | |
Jessica Barker, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 606 Medical Pkwy, Enterprise, OR 97828 Phone: 541-805-0861 | |
Michelle Coppin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 606 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-4524 | |
Ms. Margaret J Rystrom, RN, CNL Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 66258 Lewiston Hwy, Enterprise, OR 97828 Phone: 541-398-2622 |