Individual
STEPHANIE ANGELA WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 UNDERCLIFF TER, PRINCETON, WV 24740-2176
(304) 327-1890
Mailing address
218 UNDERCLIFF TER, PRINCETON, WV 24740-2176
(304) 327-1890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
126707
WV
363L00000X
Nurse Practitioner
Primary
97569
WV
Other
Enumeration date
06/02/2026
Last updated
07/29/2026
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