Individual
MRS. ELIZABETH HILLERY WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
401 E CHESTNUT ST, SUITE 510, LOUISVILLE, KY 40202-5700
(502) 588-4800
(502) 588-4801
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004329
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201179160
—
IN
05
—
7100246450
—
KY
Enumeration date
01/10/2007
Last updated
10/15/2019
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