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Evelyn Wise, NP

Nurse Practitioner in West Seneca, NY. Individual provider (NPI-1).

NPI number1194888198
StatusActive
Last updated in NPPESNov 15, 2021

Details

NPI
1194888198
Entity type
Individual (NPI-1)
Name
Evelyn Wise
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 19, 2006
Certification date
Nov 15, 2021
Last updated
Nov 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerF3024671NYYes
363LA2200X Nurse Practitioner, Adult HealthF3024671NY

Practice location

57 Leacliff Ln
West Seneca, NY 14224-3517

Phone 716-845-2300

Mailing address

57 Leacliff Ln
West Seneca, NY 14224-3517

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Other Nurse Practitioner providers in West Seneca, NY

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