LESLIE WISTISEN
Nurse's Aide
Active
Individual
NPI: 1063164200
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes | - |
Frequently Asked Questions
NPI 1063164200 is the National Provider Identifier for LESLIE WISTISEN, a Nurse's Aide provider located in Broken Bow, NE. This NPI was enumerated on January 19, 2022.
LESLIE WISTISEN practices at 1135 N H ST, Broken Bow, NE 68822.
Quick Facts
- NPI
- 1063164200
- Type
- Individual
- Enumerated
- Jan 19, 2022
- Last Updated
- Jan 19, 2022
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