Individual provider · Type 1 NPI
Mary Moore Wise, ARNP
Adult Psychiatric/Mental Health Registered Nurse · Huntington, WV
NPI number
1720111768
Active
Practice location
1540 Spring Valley Dr
Huntington, WV 25704-9300
Mailing address
414 Bellefonte Princess Rd
Ashland, KY 41101-2118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | ARNP2656282 (FL) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1720111768
Mary Moore Wise, ARNP's National Provider Identifier is 1720111768, issued on Mar 13, 2007. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Huntington, WV. The record was last updated on Jul 8, 2007.