Individual
CAROLYN TEMPERANCE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3909 CREEKSIDE LOOP STE 115, YAKIMA, WA 98902-4880
(509) 574-6095
(509) 574-6098
Mailing address
3800 SUMMITVIEW AVE, YAKIMA, WA 98902-2715
(509) 248-7849
(509) 248-8291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60776851
WA
Other
Enumeration date
07/17/2017
Last updated
02/13/2019
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