Individual
MISS MICHELLE L WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
11970 N CENTRAL EXPY, DALLAS, TX 75243-3768
(214) 364-9987
Mailing address
11970 N CENTRAL EXPY, DALLAS, TX 75243-3768
(214) 364-9987
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1105851
TX
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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