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

Mr. Nicholas John Oliver Wiseman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093206682

Mr. Nicholas John Oliver Wiseman is a Student in an Organized Health Care Education/Training Program in Northridge, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

18111 Nordhoff St
Northridge, CA 91330-0001
Phone: (818) 677-1200
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093206682
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 20, 2018
Last updated in NPPESMay 20, 2018

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