| Diem Wiesen, | |
| 
					1619 Broad Winged Hawk Dr, Ruskin, FL 33570-4955  | |
| (440) 590-3071 | |
| Not Available | 
| Full Name | Diem Wiesen | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1619 Broad Winged Hawk Dr, Ruskin, Florida | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720637556 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 9508713 (Florida) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 11003120 (Florida) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Diem Wiesen, 1619 Broad Winged Hawk Dr, Ruskin, FL 33570-4955 Ph: (440) 590-3071  | Diem Wiesen, 1619 Broad Winged Hawk Dr, Ruskin, FL 33570-4955 Ph: (440) 590-3071  | 
Selena Crandall, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3860 Sun City Center Blvd, Ruskin, FL 33573 Phone: 813-633-1980 Fax: 813-355-5104  | |
Nicole O'connor, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10113 Count Fleet Dr, Ruskin, FL 33573 Phone: 813-362-9588  | |
Michelle Gordon Troyer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 924 Cypress Village Blvd, Ruskin, FL 33573 Phone: 813-633-6121 Fax: 866-264-8519  | |
Amorcita Madridondo Dougherty, A.R. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3040 E College Ave, Ruskin, FL 33570 Phone: 813-331-3940 Fax: 813-331-3941  | |
Latorya Mobley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10203 Stedfast Ct, Ruskin, FL 33573 Phone: 813-590-9444  | |
Maricar C Cal, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2814 14th Ave Se, Ruskin, FL 33570 Phone: 813-361-1658  | |
Devin Cedric Warfield, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1740 Bonita Bluff Ct, Ruskin, FL 33570 Phone: 904-861-5711  |