Wiseman, Marilyn J

Wiseman, Marilyn J is an sole proprietor health care provider with primary practice located at 19415 Deerfield Ave Suite 112, Lansdowne VA 20176-8452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wiseman, Marilyn J can be contacted via phone (703) 724-1195.

Contact Information

Primary practice address
19415 Deerfield Ave Suite 112 Lansdowne VA 20176-8452
Phone: (703) 724-1195
Fax: (703) 724-4495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AC000186 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024165343 Virginia

Profile Details

NPI number 1881682482
LBN Legal business name Wiseman, Marilyn J
Credentials MSN, CRNP,CRNFA,CNOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2005
Last updated Apr 11th, 2009 - about 17 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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