KRISTOPHER JOEL WISE FNP-C NPI 1679230148

NPI Information

NPI: 1679230148
Provider Name: KRISTOPHER JOEL WISE, FNP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
1522 JANES AVE
SAGINAW, MI
ZIP 48601
Phone: (989) 755-0316
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Kristopher Joel Wise, FNP-C is a primary care nurse practitioner in Saginaw, MI with 3 years of experience. Kristopher Joel Wise, FNP-C NPI is 1679230148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAGINAW VALLEY MEDICAL COLLEGE - NLG
Graduation Year:2021

The provider's business location address is:

1522 JANES AVE
SAGINAW, MI
ZIP 48601-819
Phone: (989) 755-0316
Fax: (989) 755-0956

The NPI 1679230148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/19/2021 and was last updated on 4/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	21314035126	MICHIGAN	No
2	363LP2300X	Nurse Practitioner	Primary Care	4704335001	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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