MS. JOANNA WIESE
Psychologist - Prescribing (Medical)
Active
Individual
NPI: 1063711869
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Prescribing (Medical) | 103TP0016X | Yes | 203430 (ID) |
Frequently Asked Questions
NPI 1063711869 is the National Provider Identifier for MS. JOANNA WIESE, a Psychologist - Prescribing (Medical) provider located in Mountain Home Afb, ID. This NPI was enumerated on March 18, 2011.
MS. JOANNA WIESE practices at 90 HOPE DR BLDG 6000, Mountain Home Afb, ID 83648.
Quick Facts
- NPI
- 1063711869
- Type
- Individual
- Enumerated
- Mar 18, 2011
- Last Updated
- Oct 16, 2025
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