Individual
CARLA M WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1200 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8002
(812) 479-9500
(812) 437-0037
Mailing address
5440 HIGHWAY 136 W, HENDERSON, KY 42420-9611
(270) 869-4151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3014414
KY
363LP2300X
Primary Care Nurse Practitioner
Primary
71012646A
IN
Other
Enumeration date
04/14/2020
Last updated
02/21/2024
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