Wise, Monica

Wise, Monica is an individual health care provider with primary practice located at 675 S Babcock St , Melbourne FL 32901. 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, Monica can be contacted via phone (321) 951-1010.

Contact Information

Primary practice address
675 S Babcock St Melbourne FL 32901
Fax: (321) 952-4038
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3329362 Florida

Profile Details

NPI number 1437324670
LBN Legal business name Wise, Monica
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Feb 18th, 2019 - about 5 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 1437324670 NPPES
Florida Other 9592477 AETNA
Florida Other P00798086 AETNA
Florida Other Y01MT AETNA

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