Wise, Michelle T
Wise, Michelle T is an individual health care provider with primary practice located at 680 Oyster Point Rd , Newport News VA 23606-4570. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Wise, Michelle T can be contacted via phone (757) 668-4851.Contact Information
Primary practice address
680 Oyster Point Rd
Newport News VA 23606-4570
Phone: (757) 668-4851
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Lactation Consultant | 163WL0100X | 0001156324 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 0024156324 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 0024156324 | Virginia |
Profile Details
| NPI number | 1942261466 |
|---|---|
| LBN Legal business name | Wise, Michelle T |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2006 |
| Last updated | Oct 18th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942261466 | NPPES |
| Virginia | MEDICAID | 1946661466 |
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