# WISE WOMAN OB/GYN, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649221367
- **Authorized official:** NANCI L. HAWKINS MD (PRESIDENT)
- **Authorized official phone:** (315) 782-6262

## Contact information

- **Practice address:** 172 CLINTON ST, WATERTOWN, NY 13601-3602
- **Practice address phone:** (315) 782-6262
- **Practice address fax:** (315) 782-5181
- **Mailing address:** 1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204-2859
- **Mailing address phone:** (315) 472-1488
- **Mailing address fax:** (315) 476-1792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 05/06/2008