| NPI | 1518691419 |
|---|---|
| Former Name | ASHLEY WISEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2308876) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2308876) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2308876) | |
| 163W00000X Registered Nurse (Licence: MA RN2308876) | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2024-07-24 |