Individual
MRS. ALISHA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2071
(205) 759-7690
Mailing address
14020 GLEN PARK AVENUE, NORTHPORT, AL 35475
(205) 393-9827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-191427
AL
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
1-191427
AL
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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