IRENE MANALISAY WISE FNP RN NPI 1942342126

NPI Information

NPI: 1942342126
Provider Name: IRENE MANALISAY WISE, FNP RN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
710 N BEAVER ST
BUILDING 6
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 527-4325
Get Directions

Irene Manalisay Wise, FNP RN is a family nurse practitioner in Flagstaff, AZ. Irene Manalisay Wise, FNP RN NPI is 1942342126. 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:

710 N BEAVER ST
BUILDING 6
FLAGSTAFF, AZ
ZIP 86001-100
Phone: (928) 527-4325
Fax: (928) 527-4327

The enumeration date for this NPI number is 2/13/2007 and was last updated on 3/28/2013.

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	363LF0000X	Nurse Practitioner	Family	AP4241	ARIZONA	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	P33581	MEDICARE UPIN
2	MW0738849	OTHER		DEA
3	K151734	MEDICARE ID-TYPE UNSPECIFIED
4	NP4733	MEDICAID	ALASKA

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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