Individual provider · Type 1 NPI

Elise Shannon Peaney Wildern, FNP-C

Family Nurse Practitioner · Lansing, MI

NPI number 1376138644 Active

Practice location

3404 Patient Care Dr
Lansing, MI 48911-4217

Mailing address

137 Canterbury Dr
Charlotte, MI 48813-1038

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704292079 (MI)

Family Nurse Practitioner: Definition to come...

21 other providers at this address

Other family nurse practitioner providers in Lansing

See all in Lansing →

About NPI 1376138644

Elise Shannon Peaney Wildern, FNP-C's National Provider Identifier is 1376138644, issued on Mar 8, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lansing, MI. The record was last updated on Nov 19, 2023.