MS. Joanna Elise Wiese
MS. Joanna Elise Wiese is a Prescribing (Medical) Psychologist in Mountain Home AFB, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
Practice location Address checks out
90 Hope Dr Bldg 6000Mountain Home AFB, ID 83648-1062
Phone: (208) 828-7581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prescribing (Medical) Psychologist (primary) | Taxonomy 103TP0016X · Licence 203430 (ID) |
|---|
Record details
| NPI number | 1063711869 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 18, 2011 |
| Last updated in NPPES | October 16, 2025 |
| Certification date | October 16, 2025 |