WISE WOMAN WELLNESS LLC NPI 1033447594

NPI Information

NPI: 1033447594
Provider Name: WISE WOMAN WELLNESS LLC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

Address:
1480 SWAN RD
DE PERE, WI
ZIP 54115
Phone: (920) 339-5252
Get Directions

WISE WOMAN WELLNESS LLC is a women's health nurse practitioner in De Pere, WI. WISE WOMAN WELLNESS LLC NPI is 1033447594. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1480 SWAN RD
DE PERE, WI
ZIP 54115-966
Phone: (920) 339-5252
Fax: (920) 632-7652

The provider's authorized official is Randi Mary Mann .
The authorized official title is Owner and has the following contact phone number (920) 339-5252.

The enumeration date for this NPI number is 11/20/2009 and was last updated on 11/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	115-030	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S95058	MEDICARE PIN
2	1427016609	OTHER	WISCONSIN	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »