Individual
MS. NANCY M. WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,R.D.,L.D/N
Contact information
Practice address
35 CAMBRIDGE TRCE, ORMOND BEACH, FL 32174-2471
(386) 295-1265
(888) 785-7846
Mailing address
35 CAMBRIDGE TRCE, ORMOND BEACH, FL 32174-2471
(386) 675-0790
(888) 785-7846
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5781
FL
Other
Enumeration date
09/22/2010
Last updated
10/31/2011
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