A MICHELLE WISE


Address: 739 Galleria Blvd Ste 112, Rock Hill, SC 29730-5785
Phone: 8035474343

A MICHELLE WISE (NPI# 1164663449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164663449
Entity Type Individual
Full Name A MICHELLE WISE
Other Name A. MICHELLE WISE-EASTERGARD
Credential FNP
Practice Address 739 Galleria Blvd Ste 112
Rock Hill
SC 29730-5785
Mailing Address 224 Avery Jones Ln Apt 202
Rock Hill
SC 29730-0155
Practice Telephone 8035474343
Mailing Telephone 8645017603
Enumeration Date 2009-03-16
Last Update Date 2018-11-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2787 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC MEDICARE PIN SCC1783365 01

Office Location

Street Address 739 GALLERIA BLVD STE 112
City ROCK HILL
State SC
Zip Code 29730-5785

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1972132116 Jennifer D Dawkins Health Educator 151 S. Oakland Ave., Rock Hill, SC 29730 2020-04-08
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1437642824 Embrace Clinical Services LLC Social Worker 331 East Main Streest, Rock Hill, SC 29730 2018-06-11
1558852384 Affinity Health Center - Dental Dentist 500 Lakeshore Parkway, Rock Hill, SC 29730 2018-05-29
1942729603 Carolina Therapy Solutions for Kids, LLC Occupational Therapy Assistant 458 Anvil Draw Pl, Rock Hill, SC 29730 2017-09-13
1245750041 Revelation Home Health Care In Home Supportive Care 331 E. Main Street, Rock Hill, SC 29730 2017-06-22
1538696703 Ivan Alexander Carrion Dentist 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 2017-05-17
1154861045 Community Medicine Foundation, Inc Clinic/Center 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 2017-02-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588121305 Jennifer Ervine King Nurse Practitioner 1920 Ebenezer Rd, Rock Hill, SC 29732-1014 2019-02-28
1346716909 Leslie Marie Metzler Nurse Practitioner 125 Amendment Ave, Rock Hill, SC 29732 2018-10-22
1801265194 Intuitive Home Health Services LLC Nurse Practitioner 2808 Briar Cir, Rock Hill, SC 29732-9454 2015-09-17
1912340407 Lori Darlene Mitchell Nurse Practitioner 410 E Black St, Rock Hill, SC 29730-5342 2013-04-15
1184998742 Brandy Leigh Farmer Nurse Practitioner 410 S Herlong Ave Ste 106, Rock Hill, SC 29732-8350 2012-02-29
1295806701 Jill Eileen Simpson Nurse Practitioner Winthrop University Health, 708 Oakland Ave. Crawford Bldg., Rock Hill, SC 29733-0001 2006-11-13
1114953106 Staci D Burrell Nurse Practitioner 101 Sedgewood Dr, Rock Hill, SC 29732-2315 2006-06-23
1558355479 Diane L Harrell Nurse Practitioner 2707 Celanese Rd, Rock Hill, SC 29732-9406 2005-09-07
1033103395 Mary Jo Barreto Nurse Practitioner Winthrop University Health Services, Rock Hill, SC 29733-0001 2005-09-01
1871109405 Elaine Marie Toffoli Nurse Practitioner 170 Amendment Ave, Rock Hill, SC 29732-3073 2020-09-18
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Competitor

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City ROCK HILL
Zip Code 29730

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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