Individual
DEANNA JEAN WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
5233 KING AVE STE 200, BALTIMORE, MD 21237-4003
(410) 933-2900
Mailing address
364 MOUNT OLIVET CHURCH RD, AIRVILLE, PA 17302-9092
(410) 808-9648
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R195793
MD
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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