Individual
MRS. ERICA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 NW 26TH AVE, MIAMI, FL 33125-5106
(786) 523-1772
Mailing address
50 NW 26TH AVE, MIAMI, FL 33125-5106
(786) 523-1772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9352387
FL
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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