Individual
MS. HEATHER MARIE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3 BARKER AVE, 4TH FLOOR, WHITE PLAINS, NY 10601-1509
(914) 949-1199
Mailing address
3 BARKER AVE, 4TH FLOOR, WHITE PLAINS, NY 10601-1509
(914) 949-1199
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
004059
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
2979312
FL
Other
Enumeration date
07/19/2006
Last updated
10/26/2009
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