Search › Missouri › 251E00000X
Debra Wise
NPI 1275000630 · on the registry since 2018 · sole proprietor
Practice
- Address
- 6420 Mount Ave
Saint Louis, MO 63121 - Phone
- (314) 458-9602
- Fax
- (314) 282-0158
- Organisation at this address
- Wings Of An Angel
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri