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Elise Carolyn Wise, NURSEPRACTITIONER
Psychiatric/Mental Health Nurse Practitioner in Glendale, Arizona
NPI 1245265917

Elise Carolyn Wise is a Psychiatric/Mental Health Nurse Practitioner based in Glendale, AZ and is specialized in Psychiatric/Mental Health. Elise Carolyn Wise practices in Glendale, AZ and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Elise Carolyn Wise is 1245265917 and holds a License No. AP3213 (Arizona).

The current practice location address for Elise Carolyn Wise is 4425 W Olive Ave, Glendale, AZ and can be reached out via phone at 623-937-9203 and via fax at 623-930-0358. You can also correspond with Elise Carolyn Wise through the mailing address at 4425 W OLIVE AVE, GLENDALE, AZ - 85302-3843 (mailing address contact number: 623-937-9203).

Location: 4425 W Olive Ave, Glendale, AZ, 85302-3843
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Provider Profile Details
NPI Number
1245265917
Provider Name
Elise Carolyn Wise
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
4425 W Olive Ave, Glendale, AZ, 85302-3843
Phone Number
623-937-9203
Fax Number
623-930-0358
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP 1011 01 AZ FAMILY NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
4425 W Olive Ave
City
State
Zip
85302-3843
Phone Number
623-937-9203
Fax Number
623-930-0358
person
Provider Business Mailing Address Details
Address
4425 W Olive Ave
City
State
Zip
85302-3843
Phone Number
623-937-9203
Fax Number
623-930-0358
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP3213 (Arizona)
Definition
Definition to come...
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