Wise, Phenia Renee

Wise, Phenia Renee is an individual health care provider with primary practice located at 3841 Eastway Rd , South Euclid OH 44118. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wise, Phenia Renee can be contacted via phone (216) 371-9731.

Contact Information

Primary practice address
3841 Eastway Rd South Euclid OH 44118
Phone: (216) 371-9731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X PN104654 Ohio

Profile Details

NPI number 1295922813
LBN Legal business name Wise, Phenia Renee
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Sep 27th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295922813 NPPES
Ohio MEDICAID 2624057

Popular Providers