ELISE CAROLYN WISE

GLENDALE, AZ
NPI1245265917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  AP3213)
Enumeration Date2006-07-11
Last Update Date2013-11-01
Business Address
-- ELISE CAROLYN WISE Nurse Practitioner
4425 W OLIVE AVE SUITE 200
GLENDALE, AZ 85302-3843
Phone number: 623-937-9203
Mailing Address
-- ELISE CAROLYN WISE Nurse Practitioner
4425 W OLIVE AVE SUITE 200
GLENDALE, AZ 85302-3843
Phone number: 623-937-9203
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