Wise, Evelyn

Wise, Evelyn is an individual health care provider with primary practice located at 57 Leacliff Ln , West Seneca NY 14224-3517. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wise, Evelyn can be contacted via phone (716) 845-2300.

Contact Information

Primary practice address
57 Leacliff Ln West Seneca NY 14224-3517
Phone: (716) 845-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F3024671 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F3024671 New York

Profile Details

NPI number 1194888198
LBN Legal business name Wise, Evelyn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Nov 15th, 2021 - about 3 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 1194888198 NPPES
New York MEDICAID 02099347

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