Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diem Wiesen

Individual provider Registered Nurse · NPI 1720637556

Diem Wiesen is a Registered Nurse in Ruskin, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1619 Broad Winged Hawk Dr
Ruskin, FL 33570-4955
Phone: (440) 590-3071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11003120 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9508713 (FL)

Record details

NPI number1720637556
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2019
Last updated in NPPESSeptember 4, 2019
Mailing address1619 Broad Winged Hawk Dr, Ruskin, FL 33570-4955

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