Individual provider · Type 1 NPI
Kimberly Wise, NP
Pediatric Nurse Practitioner · Syracuse, NY
NPI number
1124663521
Active
Practice location
750 East Adams Street
Syracuse, NY 13210
Fax (315) 464-6322
Mailing address
251 Salina Meadows Parkway, Suite 100
Syracuse, NY 13212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN233955 (MA) |
| Pediatric Nurse Practitioner | 363LP0200X | RN2332955 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 382971 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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- Athena ReomePediatric Nurse Practitioner Syracuse, NY NPI 1164201372
About NPI 1124663521
Kimberly Wise, NP's National Provider Identifier is 1124663521, issued on Nov 10, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Syracuse, NY. The record was last updated on May 28, 2024.