Individual provider · Type 1 NPI
Amy Osguthorpe Wisse
Family Nurse Practitioner · Charleston, SC
NPI number
1306246558
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 18860 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1306246558
Amy Osguthorpe Wisse's National Provider Identifier is 1306246558, issued on Aug 25, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, SC. The record was last updated on Jan 12, 2017.