Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Wiseman

Individual provider Registered Nurse · NPI 1174992952

Mary Wiseman is a Registered Nurse in Alton, Illinois. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2015
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Practice location Address checks out

12 Lakeridge Trl
Alton, IL 62002-8864
Phone: (618) 593-2439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 129046 (MO)

Record details

NPI number1174992952
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2015
Last updated in NPPESSeptember 22, 2015

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