Individual
MS. BARBARA LOUISE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
231 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 318-1188
(513) 318-1189
Mailing address
2351 STANLEY AVE, DAYTON, OH 45404-1201
(937) 228-0990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 189036
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027541
—
OH
Enumeration date
07/10/2006
Last updated
11/24/2020
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