Individual provider · Type 1 NPI
Michael Joseph Wisher, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Hauppauge, NY
NPI number
1467454942
Active
Practice location
523 Townline Rd Ste 5
Hauppauge, NY 11788-2827
Fax (631) 759-5521
Mailing address
4 Wicks Dr
Commack, NY 11725-3922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F400339 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1467454942
Michael Joseph Wisher, NURSE PRACTITIONER's National Provider Identifier is 1467454942, issued on Aug 13, 2005. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hauppauge, NY. The record was last updated on Feb 18, 2022.