MRS. MICHELLE T WISE NURSE PRACTITIONER NPI 1942261466

NPI Information

NPI: 1942261466
Provider Name: MRS. MICHELLE T WISE, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
680 OYSTER POINT RD
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 668-4851
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MRS. Michelle T Wise, NURSE PRACTITIONER is a pediatrics nurse practitioner in Newport News, VA. MRS. Michelle T Wise, NURSE PRACTITIONER NPI is 1942261466. 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:

680 OYSTER POINT RD
NEWPORT NEWS, VA
ZIP 23606-570
Phone: (757) 668-4851

The enumeration date for this NPI number is 4/1/2006 and was last updated on 10/18/2022.

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	163WL0100X	Registered Nurse	Lactation Consultant	0001156324	VIRGINIA	No
2	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	0024156324	VIRGINIA	No
3	363LP0200X	Nurse Practitioner	Pediatrics	0024156324	VIRGINIA	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	1946661466	MEDICAID	VIRGINIA

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: 5/5/2024

NPI Synchronization or Removal

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