Wise, Irene Manalisay

Wise, Irene Manalisay is an individual health care provider with primary practice located at 710 N Beaver St Building 6, Flagstaff AZ 86001-3100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wise, Irene Manalisay can be contacted via phone (928) 527-4325.

Contact Information

Primary practice address
710 N Beaver St Building 6 Flagstaff AZ 86001-3100
Fax: (928) 527-4327
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4241 Arizona

Profile Details

NPI number 1942342126
LBN Legal business name Wise, Irene Manalisay
Credentials FNP RN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Mar 7th, 2023 - about last year

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 1942342126 NPPES
Alaska MEDICAID NP4733

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