KONTASHA SHAMIKA WISE

ALBUQUERQUE, NM
NPI1679850044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NM  CNP02817)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: SC  17616)
363LA2200X Nurse Practitioner, Adult Health
(Licence: NM  cnp02817)
363LF0000X Nurse Practitioner, Family
(Licence: NM  CNP02817)
363LP2300X Nurse Practitioner, Primary Care
(Licence: NM  CNP02817)
Enumeration Date2011-11-12
Last Update Date2024-07-26
Business Address
KONTASHA SHAMIKA WISE ARNP
2900 LOUISIANA BLVD NE STE J1
ALBUQUERQUE, NM 87110-3575
Phone number: 505-554-8315
Mailing Address
KONTASHA SHAMIKA WISE ARNP
8226 MENAUL BLVD NE # 144
ALBUQUERQUE, NM 87110-4614
Phone number: 505-554-8315