Madison Mae Wiese
Peer Specialist · Jay, OK
NPI number
1457065963
Practice location
1015 W Washbourne StJay, OK 74346-4205
- Phone
- (844) 458-2100
NPI record
- NPI
- 1457065963
- Entity type
- Individual (Type 1)
- Enumeration date
- January 9, 2023
- Last updated
- January 9, 2023
- Certified
- January 9, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
About Madison Wiese
Madison Mae Wiese is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1015 W Washbourne St, Jay, OK 74346-4205. The NPI number 1457065963 was assigned on January 9, 2023 and the record was last updated on January 9, 2023.
Frequently asked questions
What is the NPI number of Madison Mae Wiese?
The NPI number is 1457065963.
What is the phone number of Madison Wiese?
The phone number listed for the practice location is (844) 458-2100.
Where is Madison Wiese located?
1015 W Washbourne St, Jay, OK 74346-4205.
What is the taxonomy code for Madison Wiese?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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