NPI 1346067055

Ladonna Wiedenman, BS

Practitioner Child & Adolescent Psychiatry Physician Nampa, ID

Practice location

Address: 915 Parkcentre Way STE 7, Nampa, ID 83651-1748
Phone: (208) 442-7791
Fax: (208) 442-7792

Registered specialties

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 1477685550 (ID)

Other Psychiatry & Neurology providers in Idaho →

Registry record

NPI: 1346067055
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2024
Record last updated: 24 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.