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Individual

MRS. RITA KATHRYN WISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP, MSN

Contact information

Practice address
417 GREYWOLF RD, SEQUIM, WA 98382-7573
(360) 582-9233
(360) 582-9233
Mailing address
417 GREYWOLF RD, SEQUIM, WA 98382-7573
(360) 582-9233
(360) 582-9233

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00158838
WA
207Q00000X
Family Medicine Physician
AP30006988
WA
363LA2200X
Adult Health Nurse Practitioner
AP30006988
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60005736
WA

Other

Enumeration date
06/26/2006
Last updated
09/01/2009
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