NPI 1265186555

Athena Wise

Practitioner Other Technician Plymouth, MN

Practice location

Address: 3007 Harbor Ln N, Plymouth, MN 55447-5103
Phone: (612) 439-4650

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Minnesota →

Registry record

NPI: 1265186555
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2022
Record last updated: 7 Feb 2022

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.