| NPI | 1508014895 |
|---|---|
| Doing Business As | WISH CAMPUS |
| Entity Type | Organization |
| Authorized Contact | FREDERICK P. CERISE President/Chief Executive Officer 214-590-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LN0000X Nurse Practitioner, Neonatal | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2022-12-12 |