Brandi Wiese, RN
Individual provider Active NPI Emergency Registered Nurse · Keenesburg, CO
NPI 1225913593 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1225913593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- 1649006 (CO)
- Practice address
- 170 S Dickson St
Keenesburg, CO 80643-9032 - Phone
- (720) 383-3733
- NPI assigned
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1649006 | CO | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 1649006 | CO | Yes |
Addresses
Primary practice location
170 S Dickson St
Keenesburg, CO 80643-9032
Mailing address
170 S Dickson St
Keenesburg, CO 80643-9032
Phone (720) 383-3733
Other providers in Keenesburg, CO
- Angela S Riemer
- Southeast Weld Fire Protection District
- Southeast Weld Fire Protection District
- Margaret Spahn
- Amanda Stolz
All providers in Keenesburg, CO · Emergency Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.