Individual provider · Type 1 NPI

Devan Thomas Wise

Student in an Organized Health Care Education/Training Program · Lynchburg, VA

NPI number 1811520141 Active

Practice location

3100 Weeping Willow Dr Apt J
Lynchburg, VA 24501-3972

Call (828) 545-8859 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811520141

Devan Thomas Wise's National Provider Identifier is 1811520141, issued on Feb 14, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lynchburg, VA. The record was last updated on Feb 14, 2020.