| NPI | 1376275578 |
|---|---|
| Other Name | DRE SHAWN WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3017990) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017990) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2025-07-15 |