Individual
CRISTINA MICHELLE WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP, FNP-C
Contact information
Practice address
8177 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-1662
(317) 621-7800
(317) 621-7805
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71003135A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71003135A
IN
Other
Enumeration date
12/17/2009
Last updated
04/17/2017
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