Individual
NAKITA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1812 N MILLS AVE, ORLANDO, FL 32803-1834
(407) 897-3499
(407) 896-9454
Mailing address
1812 N MILLS AVE, ORLANDO, FL 32803-1834
(407) 897-3499
(407) 896-9454
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
9471566
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN9471566
FL
Other
Enumeration date
06/18/2012
Last updated
07/24/2019
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