RENAE LYNN WISE PMHNP-BC NPI 1881259224

NPI Information

  • NPI: 1881259224
  • Provider Name: RENAE LYNN WISE, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 630 SOUTHPOINTE CT
    COLORADO SPRINGS, CO
    ZIP 80906
  • Phone: (719) 289-3173

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NPI Details

Renae Lynn Wise, PMHNP-BC is a psychiatric/mental health nurse practitioner in Colorado Springs, CO. Renae Lynn Wise, PMHNP-BC NPI is 1881259224. 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:

630 SOUTHPOINTE CT
COLORADO SPRINGS, CO
ZIP 80906-896
Phone: (719) 289-3173
Fax: (866) 718-1677

The enumeration date for this NPI number is 5/1/2019 and was last updated on 5/1/2019.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthC-APN.0001492-C-NPCOLORADOYes

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: 11/21/2025

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