Wise, Michelle T

Wise, Michelle T is an individual health care provider with primary practice located at 680 Oyster Point Rd , Newport News VA 23606-4570. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Wise, Michelle T can be contacted via phone (757) 668-4851.

Contact Information

Primary practice address
680 Oyster Point Rd Newport News VA 23606-4570
Phone: (757) 668-4851
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 0001156324 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 0024156324 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024156324 Virginia

Profile Details

NPI number 1942261466
LBN Legal business name Wise, Michelle T
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Oct 18th, 2022 - 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 1942261466 NPPES
Virginia MEDICAID 1946661466

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