Patricia A Wise
Individual provider Active NPI Private Vehicle · Ringgold, VA
NPI 1639726771 · NPPES record last updated Aug 22, 2019
Key facts
- NPI
- 1639726771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- License
- WNN-1804 (VA)
- Practice address
- 50 Oliver Dr
Ringgold, VA 24586-5704 - Phone
- (434) 709-6478
- NPI assigned
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WNN-1804 | VA | MD | Private Vehicle |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | WNN-1804 | VA | Yes |
Addresses
Primary practice location
50 Oliver Dr
Ringgold, VA 24586-5704
Mailing address
50 Oliver Dr
Ringgold, VA 24586-5704
Phone (434) 709-6478
Other providers in Ringgold, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.