IndividualActive
Annie Wise, NP
NPI 1164699690 · Pediatric Clinical Nurse Specialist · Houma, LA
Provider details
- NPI number
- 1164699690
- Entity type
- Individual
- Primary specialty
- Pediatric Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- AP03922 (LA)
Practice location
1281 W Tunnel Blvd
Houma, LA 70360-2794
Phone: (985) 876-2321
Fax: (985) 917-0808
Mailing address
1281 W Tunnel Blvd
Houma, LA 70360-2794
Registry dates
- Enumerated
- 2008-05-14
- Last updated
- 2015-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.