Individual
ANDREA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCPRSS
Contact information
Practice address
1801 NE 123RD ST STE 314, NORTH MIAMI, FL 33181-2883
(888) 339-9404
Mailing address
125 COOL SPRINGS BLVD STE 270, FRANKLIN, TN 37067-6574
(888) 339-9404
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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