Wise, Deborah Ann

Wise, Deborah Ann is an individual health care provider with primary practice located at 3700 Southern Blvd Ste 401 , Kettering OH 45429-1226. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Oncology. Physician Assistants & Advanced Practice Nursing Providers / Oncology is her primary health care specialty. Wise, Deborah Ann can be contacted via phone (855) 500-2873.

Contact Information

Primary practice address
3700 Southern Blvd Ste 401 Kettering OH 45429-1226
Phone: (855) 500-2873
Fax: (937) 281-3913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Oncology 163WX0200X RN167460 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X COA02210NS Ohio
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X COA02210NS Ohio

Profile Details

NPI number 1134340599
LBN Legal business name Wise, Deborah Ann
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Nov 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134340599 NPPES
Ohio MEDICAID 0067949

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