Individual
HEATHER WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6 CLUB HOUSE DR STE 102, WASHINGTON, NJ 07882-2213
(908) 237-4144
Mailing address
110 MINE HILL RD, OXFORD, NJ 07863-3062
(908) 268-6623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00853300
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00853300
NJ
Other
Enumeration date
11/06/2018
Last updated
10/09/2024
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