Carla M Wise, APRN, FNP-C
Nurse Practitioner, Primary Care in Evansville, IN. Individual provider (NPI-1).
NPI number1336768993
StatusActive
Last updated in NPPESFeb 21, 2024
Details
- NPI
- 1336768993
- Entity type
- Individual (NPI-1)
- Name
- Carla M Wise
- Credential
- APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2020
- Certification date
- Feb 21, 2024
- Last updated
- Feb 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 71012646A | IN | Yes |
| 363L00000X | Nurse Practitioner | 3014414 | KY |
Practice location
1200 Professional BlvdEvansville, IN 47714-8002
Phone 812-479-9500 · Fax 812-437-0037
Mailing address
5440 Highway 136 WHenderson, KY 42420-9611
Phone 270-869-4151
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Other Primary Care Nurse Practitioner providers in Evansville, IN
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All 6 Primary Care Nurse Practitioner providers in Evansville · All 5,513 providers in Evansville
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