| NPI | 1669400396 |
|---|---|
| Former Name | TERI W WISSINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 083139) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 1453140030) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-12-22 |