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Contact Information

DEBORAH A WISE, CNS
3700 SOUTHERN BLVD STE 401
KETTERING, OH45429-1226
 Phone: 855-500-2873
 Fax: 937-281-3913
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oncology

364SX0200X 89 Certified Clinical Nurse Specialist
 

Clinical Nurse Specialist

364S00000X 89 Certified Clinical Nurse Specialist
 

Oncology

163WX0200X
Indicates primary specialty

NPI Profile & details for DEBORAH A WISE · (Female)

NPI # 1134340599
Status Active
Credentials CNS
Entity Individual
Enumeration date 05/02/2007
Last updated 11/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # COA02210NS
  • OH License # RN167460
  • OH Medicaid 0067949
Hospital affiliation(s)
  • GRANDVIEW HOSPITAL & MEDICAL CENTER - (Acute Care)
    405 GRAND AVENUE
    DAYTON, OH 45405
  • KETTERING MEDICAL CENTER - (Acute Care)
    3535 SOUTHERN BOULEVARD
    KETTERING, OH 45429
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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