Individual
BREANN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
849 BOSTON POST RD, MILFORD, CT 06460-3537
(877) 925-3637
Mailing address
400 BLAKE ST APT 5107, NEW HAVEN, CT 06515-4430
(801) 725-1244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.013689
CT
Other
Enumeration date
08/13/2024
Last updated
08/16/2024
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