Individual
ANNE JOY WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 713-2555
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-2555
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
022886
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050240
—
NC
01
—
P00299558
RAILROAD
NC
Enumeration date
11/10/2005
Last updated
08/06/2009
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