Individual
EILEEN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 E 22ND ST, CLEVELAND, OH 44115-3204
(216) 255-1201
Mailing address
23247 SHARON DR, NORTH OLMSTED, OH 44070-1690
(216) 255-1201
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN327319
OH
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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