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Individual

ELIZABETH WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-1417
Mailing address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-1417

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
ARNP3347502
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1679643043
UPIN
FL
Enumeration date
11/09/2006
Last updated
02/09/2016
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