Autumn Nicole Wiseman
NPI #1215574728 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1215574728
- Entity Type
- Individual
- Name
- Autumn Nicole Wiseman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 3, 2019
- Last Updated
- Dec 3, 2019
Practice Location
- Address
- 2981 KANELL BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-4008
- Phone
- (573) 712-2902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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