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

Mary Wiseman

Individual provider Registered Nurse · NPI 1174992952

Mary Wiseman is a Registered Nurse in Alton, Illinois. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2015

Practice location Address checks out

12 Lakeridge Trl
Alton, IL 62002-8864
Phone: (618) 593-2439
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 129046 (MO)

Record details

NPI number1174992952
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2015
Last updated in NPPESSeptember 22, 2015
Mailing address12 Lakeridge Trl, Alton, IL 62002-8864

Other providers in Alton