Individual provider · Type 1 NPI

Kristopher Joel Wise, FNP-C

Primary Care Nurse Practitioner · Saginaw, MI

NPI number 1679230148 Active

Practice location

1522 Janes Ave
Saginaw, MI 48601-1819

Fax (989) 755-0956

Mailing address

501 Lapeer Ave
Saginaw, MI 48607-1203

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X21314035126 (MI)
Primary Care Nurse Practitioner Primary 363LP2300X4704335001 (MI)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1679230148

Kristopher Joel Wise, FNP-C's National Provider Identifier is 1679230148, issued on Nov 19, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Saginaw, MI. The record was last updated on Apr 5, 2022.