person
Lori Anne Wise, CPNP
Pediatric Nurse Practitioner in Roanoke, Virginia
NPI 1912096249

Lori Anne Wise is a Pediatric Nurse Practitioner based in Roanoke, VA and is specialized in Pediatrics. Lori Anne Wise practices in Roanoke, VA and has the professional credentials of CPNP. The NPI Number for Lori Anne Wise is 1912096249 and holds a License No. 17778 (Virginia).

The current practice location address for Lori Anne Wise is 4348 Electric Rd, Roanoke, VA and can be reached out via phone at 540-769-0976 and via fax at 540-857-5386.

Location: 4348 Electric Rd, Roanoke, VA, 24011-1713
person
Provider Profile Details
NPI Number
1912096249
Provider Name
Lori Anne Wise
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
4348 Electric Rd, Roanoke, VA, 24011-1713
Phone Number
540-769-0976
Fax Number
540-857-5386
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP2014 05 SC
institution
Provider Business Practice Location Address Details
Address
4348 Electric Rd
City
State
Zip
24018-0720
Phone Number
540-769-0976
Fax Number
540-857-5386
person
Provider Business Mailing Address Details
Address
4348 Electric Rd
City
State
Zip
24018-0720
Phone Number
540-769-0976
Fax Number
540-857-5386
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
17778 (South Carolina)
Definition
Definition to come...
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