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Amy Osguthorpe Wisse
Family Nurse Practitioner in Charleston, South Carolina
NPI 1306246558

Amy Osguthorpe Wisse is a Family Nurse Practitioner based in Charlotte, SC and is specialized in Family. Amy Osguthorpe Wisse practices in Charleston, SC. The NPI Number for Amy Osguthorpe Wisse is 1306246558 and holds a License No. 18860 (South Carolina).

The current practice location address for Amy Osguthorpe Wisse is 171 Ashley Ave, Charleston, SC and can be reached out via phone at 843-792-1414.

Location: 171 Ashley Ave, Charleston, SC, 28275-1461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306246558
Provider Name
Amy Osguthorpe Wisse
Credential
Provider Entity Type
Individual
Gender
Female
Address
171 Ashley Ave, Charleston, SC, 28275-1461
Phone Number
843-792-1414
Fax Number
Provider Enumeration Date
08/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP2900 05 SC
P01413233 01 SC RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
171 Ashley Ave
City
Charleston
State
South Carolina
Zip
29425-8908
Phone Number
843-792-1414
Fax Number
person
Provider Business Mailing Address Details
Address
171 Ashley Ave
City
Charleston
State
South Carolina
Zip
29425-8908
Phone Number
843-792-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
18860 (South Carolina)
Definition
Definition to come...
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