Individual
CASEY NICOLE WISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S PENN AVE, BARTLESVILLE, OK 74003-3847
(844) 458-2100
Mailing address
700 S PENN AVE, BARTLESVILLE, OK 74003-3847
(844) 458-2100
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2452677082
KS
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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