Individual provider · Type 1 NPI

Teresita C. Wisdom, A.N.R.P.

Nurse Practitioner · Louisville, KY

NPI number 1275786451 Active

Practice location

9700 Stonestreet Rd
Louisville, KY 40272-2884

Fax (502) 995-2464

Mailing address

5454 New Cut Rd, Suite 5
Louisville, KY 40214-4271

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X46780 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1275786451

Teresita C. Wisdom, A.N.R.P.'s National Provider Identifier is 1275786451, issued on Oct 31, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Louisville, KY. The record was last updated on Jul 25, 2012.