National Provider Identifier

Evelyn Wise, NP

Evelyn Wise, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in West Seneca, NY and a listed phone number of (716) 845-2300.

NPI 1194888198West Seneca, NYNurse Practitioner

Profile Overview

NPI
1194888198
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
December 19, 2006
Last Updated
November 15, 2021

Practice Location

  • 57 Leacliff Ln
  • West Seneca, NY 14224-3517

Phone: (716) 845-2300

Specialties

  • Nurse Practitioner (363L00000X)
  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1194888198
Entity Type
Individual
Last Name
Wise
First Name
Evelyn
Credential
NP
Mailing Street Address
57 Leacliff Ln
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-3517
Mailing Country
US
Practice Street Address
57 Leacliff Ln
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3517
Practice Country
US
Practice Phone
(716) 845-2300
Enumeration Date
December 19, 2006
Last Updated
November 15, 2021
Sex
Female
Sole Proprietor
No
Certification Date
November 15, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X), Adult Health Nurse Practitioner (363LA2200X)
Other Identifiers
02099347 (NY)