| Doctor Name: | MRS. REBECCA PAULINE WISEMAN |
| NPI Number: | 1255493862 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN3141972 |
| Business Practice Address: | 5989 John Anderson Highway Flagler Beach, FL - 321360000 |
| Business Phone Number: | 3866779149 |
| Business Fax Number: | |
| Mailing Address: | 5989 John Anderson Hwy, FLAGLER BEACH |
| State: | FL |
| Postal Code: | 321360000 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | RN3141972 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |