Individual
LEANN K WISMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15044 SANDPIPER LN, NAPLES, FL 34114-8584
(239) 529-2142
(239) 230-2977
Mailing address
970 CAPE MARCO DR, MARCO ISLAND, FL 34145-6399
(316) 882-9684
(239) 230-2977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-00740
KS
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9116891
FL
Other
Enumeration date
11/04/2006
Last updated
04/05/2023
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