Search › New Jersey › 164W00000X
Courtney Wise, LPN
NPI 1992218929 · on the registry since 2017 · sole proprietor
Practice
- Address
- 32 Rutgers Dr
Newark, NJ 07103 - Phone
- (908) 636-1258
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 164W00000X
- Licence states on file
- NY, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-11-13
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 New Jersey