MARY MOORE WISE

HUNTINGTON, WV
NPI1720111768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: FL  ARNP2656282)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
Ms. MARY MOORE WISE ARNP
1540 SPRING VALLEY DR
HUNTINGTON, WV 25704-9300
Phone number: 304-429-6755
Mailing Address
Ms. MARY MOORE WISE ARNP
414 BELLEFONTE PRINCESS RD
ASHLAND, KY 41101-2118
Phone number: 606-571-2144