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Individual

MARY WISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-5437
Mailing address
12551 GOLDEN BELL DR N, ARLINGTON, TN 38002-5147
(901) 283-3657

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
151733
TN

Other

Enumeration date
09/23/2024
Last updated
07/23/2025
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