Nurse Practitioner, Pediatrics
LORI WISE CPNP
Identity confirmed via CMS NPPES · September 29, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1912096249 · enumerated 2006-10-12 · record updated 2022-08-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 4348 ELECTRIC RD, ROANOKE, VA, 24018-0720 (540) 769-0976 Fax (540) 857-5386 Google Maps Apple Maps OpenStreetMap
- Mailing address 213 S JEFFERSON ST STE 1006, ROANOKE, VA, 24011-1713 (540) 224-5715 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · License 17778 SC
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 0024178297 VA
In this directory
Locations and evidence
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Practice location
ROANOKE, VA, 240180720
Accepting new patientsNot reportedCMS NPPES · September 29, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.