Nicole Wise
NPI #1780001602 in North Syracuse, New York
Provider Information
- NPI Number
- 1780001602
- Entity Type
- Individual
- Name
- Nicole Wise
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 28, 2014
- Last Updated
- Mar 28, 2014
Practice Location
- Address
- 129 GROVE ST
- City
- North Syracuse
- State
- New York
- ZIP Code
- 13212-2301
- Phone
- (315) 708-4549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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