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NPI Code Detail

MEDICARE: KARI WIENS

MEDICARE: KARI WIENS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner100566MT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00308826OTHERMTMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2000037271OTHERMTBCBS MT
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740292911
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARI WIENS
Provider Business Mailing Address
First Line : 221 5TH AVE S
Second Line :
City : GLASGOW
State : MT
Zip : 59230-2600
Country : US
Telephone Number : 406-228-3400
Fax Number :
Provider Business Practice Location Address
First Line : 221 5TH AVE S
Second Line :
City : GLASGOW
State : MT
Zip : 59230-2600
Country : US
Telephone Number : 406-228-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 08/06/2024

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Directions to “ KARI WIENS ” Practice Location

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