Elise Carolyn Wise, NURSEPRACTITIONER
Elise Carolyn Wise, NURSEPRACTITIONER is a Nurse Practitioner in Glendale, Arizona. Qualified in 2007, 19 years ago. Practices with Southwest Network, a 26-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.
- Years since qualifying
- 19
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address checks out
4425 W Olive Ave Ste 200Glendale, AZ 85302-3843
Phone: (623) 937-9203
Fax: (623) 930-0358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence AP3213 (AZ) |
|---|
Record details
| NPI number | 1245265917 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | July 11, 2006 |
| Last updated in NPPES | November 1, 2013 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Southwest Network — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Glendale
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Upward Spiral Psychiatry PLLC
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Lydia Christine Veratti, FAMILYPMHNP-BC
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Vivabest Psychiatry PLLC
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Tonia Wallace, PMHNP-BC
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