Wise, Elise Carolyn

Wise, Elise Carolyn is an individual health care provider with primary practice located at 4425 W Olive Ave Suite 200, Glendale AZ 85302-3843. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wise, Elise Carolyn can be contacted via phone (623) 937-9203.

Contact Information

Primary practice address
4425 W Olive Ave Suite 200 Glendale AZ 85302-3843
Phone: (623) 937-9203
Fax: (623) 930-0358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP3213 Arizona

Profile Details

NPI number 1245265917
LBN Legal business name Wise, Elise Carolyn
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Nov 1st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245265917 NPPES
Arizona Other AP 1011 FAMILY NURSE PRACTITIONER

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