DIEM WIESEN NPI 1720637556

NPI Information

  • NPI: 1720637556
  • Provider Name: DIEM WIESEN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1619 BROAD WINGED HAWK DR
    RUSKIN, FL
    ZIP 33570
  • Phone: (440) 590-3071

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NPI Details

Diem Wiesen is a family nurse practitioner in Ruskin, FL. Diem Wiesen NPI is 1720637556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1619 BROAD WINGED HAWK DR
RUSKIN, FL
ZIP 33570-955
Phone: (440) 590-3071

The enumeration date for this NPI number is 9/4/2019 and was last updated on 9/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse9508713FLORIDANo
2363LF0000XNurse PractitionerFamily11003120FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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