Individual
HAYLI WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(214) 864-1335
Mailing address
2100 BLUE AZALEA, SAVANNAH, TX 76227-1582
(214) 864-1335
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
837032
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
1034276
TX
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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