Individual provider · Type 1 NPI

Brooke Wise

Licensed Practical Nurse · Kelso, WA

NPI number 1760274484 Active

Practice location

305 Pacific Ave S Ste C
Kelso, WA 98626-1638

Call (360) 356-7759 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP60512558 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1760274484

Brooke Wise's National Provider Identifier is 1760274484, issued on May 19, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kelso, WA. The record was last updated on May 19, 2025.