Taylor Leigh Wisner, DNP, FNP-C, CPNP-PC | |
4640 Admiralty Way, Marina Del Rey, CA 90292-6621 | |
(888) 880-3451 | |
Not Available |
Full Name | Taylor Leigh Wisner |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4640 Admiralty Way, Marina Del Rey, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558951236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 95015302 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95015302 (California) | Primary |
Entity Name | Global Wound Care Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871 |
Entity Name | American Wound Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20230927002772 |
Mailing Address | Practice Location Address |
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Taylor Leigh Wisner, DNP, FNP-C, CPNP-PC 111 E Pennsylvania Ave, Escondido, CA 92025-2729 Ph: (269) 908-3888 | Taylor Leigh Wisner, DNP, FNP-C, CPNP-PC 4640 Admiralty Way, Marina Del Rey, CA 90292-6621 Ph: (888) 880-3451 |
Holly Nicole Morgan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4640 Admiralty Way, Marina Del Rey, CA 90292 Phone: 888-880-3451 | |
Mrs. Larisa Zabokritskaya, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13209 Fiji Way Unit J, Marina Del Rey, CA 90292 Phone: 310-827-6750 | |
Elisse Vassallo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4676 Admiralty Way Ste 301, Marina Del Rey, CA 90292 Phone: 310-673-3945 | |
Sheila Hernandez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4640 Admiralty Way, Marina Del Rey, CA 90292 Phone: 619-830-4278 | |
Lynn Marie Stephens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13171 Mindanao Way, Marina Del Rey, CA 90292 Phone: 310-821-8908 | |
Dr. Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13400 Washington Blvd Ste 105, Marina Del Rey, CA 90292 Phone: 310-200-8957 | |
Cheryl Catalan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4121 Via Marina, Apt 106, Marina Del Rey, CA 90292 Phone: 347-703-3662 |