Annie Wise, NP is a
Clinical Nurse Specialist - Pediatrics based in Houma, Louisiana. Annie Wise is licensed to practice in Louisiana (license number AP03922) and her current practice location is
1281 W Tunnel Blvd, Houma, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(985) 876-2321.
NPI number for Annie Wise is 1164699690 and her current mailing address is 1281 W Tunnel Blvd, Houma, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164699690.
Provider's Profile
Full Name | Annie Wise |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Pediatrics |
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Location | 1281 W Tunnel Blvd, Houma, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164699690
- Provider Enumeration Date: 05/14/2008
- Last Update Date: 08/04/2015
Medical Identifiers
Medical identifiers for Annie Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164699690 | NPI | - | NPPES |
1154636 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0200X | Clinical Nurse Specialist - Pediatrics | AP03922 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Annie Wise is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Annie Wise, NP 1281 W Tunnel Blvd, Houma, LA 70360-2794 Ph: (985) 876-2321 | Annie Wise, NP 1281 W Tunnel Blvd, Houma, LA 70360-2794 Ph: (985) 876-2321 |
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