Individual
NICOLE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 SE 46TH LN, CAPE CORAL, FL 33904-8684
(239) 257-1504
Mailing address
2659 SW 32ND ST, CAPE CORAL, FL 33914-4757
(419) 277-2533
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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