Individual
MRS. DEBORAH ANN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN167460
OH
364S00000X
Clinical Nurse Specialist
COA02210NS
OH
364SX0200X
Oncology Clinical Nurse Specialist
Primary
COA02210NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067949
—
OH
Enumeration date
05/02/2007
Last updated
11/13/2020
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