| Mrs Michelle T Wise, NURSE PRACTITIONER | |
| 
					680 Oyster Point Rd, Newport News, VA 23606-4570  | |
| (757) 668-4851 | |
| Not Available | 
| Full Name | Mrs Michelle T Wise | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Pediatrics | 
| Location | 680 Oyster Point Rd, Newport News, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942261466 | NPI | - | NPPES | 
| 1946661466 | Medicaid | VA | 
| Entity Name | Vidant Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Michelle T Wise, NURSE PRACTITIONER 240 S Second St, Hampton, VA 23664-1407 Ph: (757) 713-9465  | Mrs Michelle T Wise, NURSE PRACTITIONER 680 Oyster Point Rd, Newport News, VA 23606-4570 Ph: (757) 668-4851  | 
Leana Thorpe, AGAC NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602 Phone: 757-875-2050 Fax: 757-875-2070  | |
Nancy Gibson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11842 Rock Landing Dr Ste 100, Newport News, VA 23606 Phone: 757-873-0338 Fax: 757-873-9579  | |
Sarah Goldman Aledia, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12200 Warwick Blvd Ste 310, Newport News, VA 23601 Phone: 757-534-9988  | |
Michael Vincent Falco, LNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 Loftis Blvd Ste 201, Newport News, VA 23606 Phone: 757-310-6413 Fax: 757-935-0242  | |
Mrs. Tiffany Mills, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12200 Warwick Blvd Ste 290, Newport News, VA 23601 Phone: 757-534-5454  | |
Andrea Krans Nelson, WHNP - BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11842 Rock Landing Dr, Ste 115, Newport News, VA 23606 Phone: 757-595-9905 Fax: 757-595-5377  | |
Tameika Lassiter, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12720 Mcmanus Blvd Ste 307, Newport News, VA 23602 Phone: 757-599-3436  |