Individual
MAREN E WISEHEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2710 SWISS AVE, DALLAS, TX 75204-5900
(214) 821-8985
Mailing address
2710 SWISS AVE, DALLAS, TX 75204-5900
(214) 821-8985
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6046P
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
AP124769
TX
Other
Enumeration date
09/24/2009
Last updated
07/25/2014
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