Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bennett Wade Wisner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770223745

Bennett Wade Wisner is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-1931
Fax: (434) 244-4451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1770223745
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022
Mailing address1215 Lee Street Box 800744, Charlottesville, VA 22908-0816

Other providers in Charlottesville