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1376275578
ANDREA SHAWN WISE
LOUISVILLE, KY
NPI
1376275578
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Other Name
DRE SHAWN WISE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: KY 3017990)
Enumeration Date
2022-06-27
Last Update Date
2022-12-19
Business Address
ANDREA SHAWN WISE AGACNP
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202-1831
Phone number: 502-629-5552
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Mailing Address
ANDREA SHAWN WISE AGACNP
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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