Individual
JOHN JOSEPH WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2000
Mailing address
170 IDRIS RD, MERION STATION, PA 19066-1611
(215) 955-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP026419
PA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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