MS. STEPHANIE M WISE APRN NPI 1508149048

NPI Information

NPI: 1508149048
Provider Name: MS. STEPHANIE M WISE, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: MEDEXPRESS URGENT CARE OF BOYNTON BEACH, LLC

PECOS Registration: Yes

Address:
10301 HAGEN RANCH ROAD
SUITE B6
BOYNTON BEACH, FL
ZIP 33437
Phone: (561) 752-9490
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MS. Stephanie M Wise, APRN is a psychiatric/mental health nurse practitioner in Boynton Beach, FL with 13 years of experience. MS. Stephanie M Wise, APRN NPI is 1508149048. 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:

10301 HAGEN RANCH ROAD
SUITE B6
BOYNTON BEACH, FL
ZIP 33437-723
Phone: (561) 752-9490
Fax: (561) 752-9491

The NPI 1508149048 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 9/21/2011 and was last updated on 10/27/2021.

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	363L00000X	Nurse Practitioner		ARNP9198747	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN9198747	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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