RACHEL LYNN TIEDEMAN
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1184181364- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1898 FORT RD, SHERIDAN, WY, 828018320
- Phone
- (307) 672-3473
Specialties & Taxonomies
Registered Nurse
Primary License: WI #240843