ANNIE WISE NP NPI 1164699690

NPI Information

NPI: 1164699690
Provider Name: ANNIE WISE, NP
Classification: Clinical Nurse Specialist - 364SP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1281 W TUNNEL BLVD
HOUMA, LA
ZIP 70360
Phone: (985) 876-2321
Get Directions

Annie Wise, NP is a pediatrics clinical nurse specialist in Houma, LA. Annie Wise, NP NPI is 1164699690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1281 W TUNNEL BLVD
HOUMA, LA
ZIP 70360-794
Phone: (985) 876-2321
Fax: (985) 917-0808

The enumeration date for this NPI number is 5/14/2008 and was last updated on 8/4/2015.

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	364SP0200X	Clinical Nurse Specialist	Pediatrics	AP03922	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1154636	MEDICAID	LOUISIANA

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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