# HEALTHWISE ADVANCED PRACTICE PARTNERS

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

## Provider details

- **NPI number:** 1801524319
- **Authorized official:** LAQUITA DANIELLE LEWIS ACNP-BC (OWNER)
- **Authorized official phone:** (314) 624-1317

## Contact information

- **Practice address:** 3490 HOLLENBERG DR, BRIDGETON, MO 63044-2429
- **Practice address phone:** (314) 500-0716
- **Practice address fax:** (314) 463-0755
- **Mailing address:** 14472 WILLIAMSBURG MANOR DR, FLORISSANT, MO 63034-1753
- **Mailing address phone:** (314) 479-6473
- **Mailing address fax:** (314) 463-0755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2022
- **Last updated:** 08/11/2022