Wanetta Bise

NPI 1407129422 - Counselor - 101YP2500X

NPI Details
NPI 1407129422
Gender Female
Enumeration Date 02/22/2012
Last Updated 11/20/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
309 E. ST. VRAIN STREET
COLORADO SPRINGS CO, 80910-3130, US
Phone (719) 233-4020
Fax (719) 473-9203
Business Location
309 E. ST. VRAIN STREET
COLORADO SPRINGS CO, 80903-1123, US
Phone (719) 233-4020
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Colorado
License Number 4673
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According to our database, Wanetta Bise NPI is 1407129422, taxonomy code is 101YP2500X and license number is 4673, license state is located at Colorado. Wanetta Bise physically located at 309 E. St. Vrain Street, Colorado Springs CO, 80910-3130. NPI Number Wanetta Bise has the Individual type.

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1407129422 NPI number is provided on an as is basis without warranty of any kind. 1407129422 is maintained by the National Plan & Provider Enumeration System. The contents of Wanetta Bise are for informational purposes only.