Wiseman, Marjorie E

Wiseman, Marjorie E is an individual health care provider with primary practice located at 3631 N Morrison Rd , Muncie IN 47304-5547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wiseman, Marjorie E can be contacted via phone (765) 281-3443.

Contact Information

Primary practice address
3631 N Morrison Rd Muncie IN 47304-5547
Phone: (765) 281-3443
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001347A Indiana

Profile Details

NPI number 1093783193
LBN Legal business name Wiseman, Marjorie E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 29th, 2021 - 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 1093783193 NPPES
Indiana MEDICAID 200379350
Indiana Other P01014254

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