Individual provider · Type 1 NPI

Breanna Wise

Student in an Organized Health Care Education/Training Program · Dearborn, MI

NPI number 1013722552 Active

Practice location

1 Parklane Blvd
Dearborn, MI 48126-2400

Call (313) 846-2606 Map

Mailing address

36263 Clarita St
Livonia, MI 48152-2801

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013722552

Breanna Wise's National Provider Identifier is 1013722552, issued on Feb 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dearborn, MI. The record was last updated on Feb 11, 2025.