Individual
MRS. REBECCA PAULINE WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5989 JOHN ANDERSON HIGHWAY, FLAGLER BEACH, FL 32136-0000
(386) 677-9149
Mailing address
5989 JOHN ANDERSON HWY, FLAGLER BEACH, FL 32136-0000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN3141972
FL
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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