Wise, Marilyn B
Wise, Marilyn B is an individual health care provider with primary practice located at 2121 N 1700 W , Layton UT 84041-8803. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Wise, Marilyn B can be contacted via phone (801) 773-4840.Contact Information
Primary practice address
2121 N 1700 W
Layton UT 84041-8803
Phone: (801) 773-4840
Fax: (801) 525-8151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 215309-4405 | Utah |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 215309-4405 | Utah |
Profile Details
| NPI number | 1720098189 |
|---|---|
| LBN Legal business name | Wise, Marilyn B |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Dec 4th, 2019 - about 6 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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