Individual provider · Type 1 NPI
Michael Wiseman
Psychiatric/Mental Health Nurse Practitioner · Clinton, CT
NPI number
1003747692
Active
Practice location
4 Christopher Ln
Clinton, CT 06413-1830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 12.017450 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1003747692
Michael Wiseman's National Provider Identifier is 1003747692, issued on May 25, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clinton, CT. The record was last updated on May 25, 2026.