ANDREA SHAWN WISE

BEAVER DAM, KY
NPI1376275578
Other NameDRE SHAWN WISE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: KY  3017990)
Enumeration Date2022-06-27
Last Update Date2025-01-15
Business Address
ANDREA SHAWN WISE AGACNP
5025 S US HIGHWAY 231
BEAVER DAM, KY 42320-9473
Phone number: 270-274-6054
Mailing Address
ANDREA SHAWN WISE AGACNP
5025 S US HIGHWAY 231
BEAVER DAM, KY 42320-9473
Phone number: 270-274-6054
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