Individual
LAUREN ELIZABETH WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4400
Mailing address
1001 S BROAD ST APT W0510, PHILADELPHIA, PA 19147-3648
(267) 885-5395
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
SP034099
PA
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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