Russell J Wise in Laredo - Nurse Practitioner

Russell J Wise - NPI 1750313375

Russell J Wise is a Nurse Practitioner in Laredo, Texas. Russell J Wise practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Russell J Wise is 1750313375. The last update date is 2012-10-30.

Russell J Wise's current location address is 2007 S Zapata Hwy, Laredo, Texas. You can contact this provider via phone number 9567958101 and fax number 9567958195. The mailing address for Russell J Wise is 2007 S Zapata Hwy, Laredo, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell J Wise
Address 2007 S Zapata Hwy, Laredo, Texas
Phone Number 9567958101
Fax Number 9567958195
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1750313375
Provider Enumeration Date 2006-07-06
Last Updated Date 2012-10-30

Provider Mailing Address Detail

Address 2007 S Zapata Hwy
City Laredo
State Texas (TX)
Post Code 780466510
Phone Number 9567958101
Fax Number 9567958195

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 633018
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
157631602 TX CSHCN
157631601 TX --
81896501 TX --
92953101 TX --

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FAQs about Russell J Wise

What is the unique identifier code issued to Russell J Wise by the Centers for Medicare & Medicaid Services (CMS)?

The Russell J Wise has been assigned the NPI (National Provider Identifier) 1750313375. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Russell J Wise's facilities are situated?

The facilities of Russell J Wise are physically located at the following address: 2007 S Zapata Hwy, Laredo, TX, 780466510.

What is the area of specialization for Russell J Wise, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Russell J Wise is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.

When was the Russell J Wise's 1750313375 issued?

The Russell J Wise's 1750313375 was issued on 2006-07-06.

When was the information pertaining to Russell J Wise most recently updated or revised?

The details related to Russell J Wise, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-30.

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