NPI 1144176538

Ellen Grace Wise

Practitioner Physician Assistant Brunswick, ME

Practice location

Address: 193 Bath Rd, Brunswick, ME 04011-2607
Phone: (207) 424-2272
Mailing address: 360 US Highway 1 Byp Unit 102, Portsmouth, NH 03801-7105

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA3080 (ME)

Other Physician Assistant providers in Maine →

Registry record

NPI: 1144176538
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2026
Record last updated: 22 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.