Individual provider · Type 1 NPI

Tina Wismar, FNP-BC

Family Nurse Practitioner · Lakewood, NJ

NPI number 1467968396 Active

Practice location

101 2nd St
Lakewood, NJ 08701-3324

Fax (732) 719-1551

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ00783400 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1467968396

Tina Wismar, FNP-BC's National Provider Identifier is 1467968396, issued on Dec 14, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lakewood, NJ. The record was last updated on Dec 14, 2017.