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

Nicole Wiedeke

Individual provider Specialist · NPI 1336699818

Nicole Wiedeke is a Specialist in Pembroke Pines, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016

Practice location Address checks out

9041 NW 12th Ct
Pembroke Pines, FL 33024
Phone: (954) 825-9281
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA72749 (FL)

Record details

NPI number1336699818
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 10, 2016
Last updated in NPPESOctober 10, 2016

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