Provider Demographics
NPI:1457167819
Name:WYSE, FIONA MARILYN (RN)
Entity type:Individual
Prefix:
First Name:FIONA
Middle Name:MARILYN
Last Name:WYSE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:810 RAYFORD RD APT 2204
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1961
Mailing Address - Country:US
Mailing Address - Phone:832-312-1346
Mailing Address - Fax:
Practice Address - Street 1:9922 LOUETTA RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1468
Practice Address - Country:US
Practice Address - Phone:346-721-9854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7410202086X0206X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology