Marilyn B Wise, FNP

NPI #1720098189 in Layton, Utah

Provider Information

NPI Number: 1720098189
Entity Type: Individual
Name: Marilyn B Wise, FNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: FNP
Enumeration Date: Aug 8, 2006
Last Updated: Dec 4, 2019

Practice Location

Address: 2121 N 1700 W
City: Layton
State: Utah
ZIP Code: 84041-8803
Phone: (801) 773-4840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Urology	208800000X	Primary

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