Individual
STEVEN MICHAEL WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, AGACNP-BC
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-9055
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024176810
VA
Other
Enumeration date
10/29/2018
Last updated
12/03/2021
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