Individual
MS. KRISTA ELIZABETH WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
112 QUARRY RD, SUITE 220, TRUMBULL, CT 06611-4816
(203) 374-6162
(203) 374-1549
Mailing address
112 QUARRY RD, SUITE 220, TRUMBULL, CT 06611-4816
(203) 374-6162
(203) 374-1549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003479
CT
Other
Enumeration date
09/06/2007
Last updated
01/15/2014
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