Individual
ABIGAIL GWISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(855) 984-5121
Mailing address
4109 WOODARD RD, DELEVAN, NY 14042-9453
(716) 400-7750
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310610
NY
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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