IndividualActive
Bradley Wiesner, CRNA
NPI 1508102450 · Certified Registered Nurse Anesthetist · Grant, NE
Provider details
- NPI number
- 1508102450
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- R 179376-9 (MN)
Practice location
900 Lincoln Ave
Grant, NE 69140-3095
Phone: (308) 352-7200
Fax: (308) 352-7290
Mailing address
900 Lincoln Ave
Grant, NE 69140-3095
Registry dates
- Enumerated
- 2012-12-21
- Last updated
- 2018-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.