ANDREA SHAWN WISE

LOUISVILLE, 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 Date2022-12-19
Business Address
ANDREA SHAWN WISE AGACNP
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202-1831
Phone number: 502-629-5552
Mailing Address
ANDREA SHAWN WISE AGACNP
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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