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BREANNA WISE
NPI 1013722552
Student in an Organized Health Care Education/Training Program in Dearborn, MI

Active since February 11, 2025
1 PARKLANE BLVD, DEARBORN, MI 48126(313) 846-2606 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breanna Wise NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA WISE (NPI 1013722552) is an individual student in an organized health care education/training program in Dearborn, Michigan and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1013722552
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBREANNA WISE
Location Address1 PARKLANE BLVDDearborn, MI 48126-2400
Mailing Address36263 Clarita StLivonia, MI 48152-2801
Phone(313) 846-2606
Sole ProprietorYes
Enumeration DateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
✔ NPI 1013722552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 PARKLANE BLVD, Dearborn, MI 48126
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZEINAB RAISHOUNI LPC
Counselor
1 PARKLANE BLVD
DEARBORN, MI 48126
Wayne County (313) 929-7770
JANINA SEYCHEL
Speech-Language Pathologist
1 PARKLANE BLVD
DEARBORN, MI 48126
Wayne County (313) 846-2657
MS. SYDNEY ALEXANDRA DOEBEL
Social Worker
1 PARKLANE BLVD
DEARBORN, MI 48126
Wayne County (313) 846-2606
MS. MONA M BAYDOUN I MA,LLPC
Counselor (Mental Health)
1 PARKLANE BLVD
DEARBORN, MI 48126
Wayne County (313) 846-2606
TAYLOR BANKS
Occupational Therapist (Pediatrics)
1 PARKLANE BLVD
DEARBORN, MI 48126
Wayne County (313) 846-2606
MARINA RAE MIHELICH
Social Worker
1 PARKLANE BLVD
DEARBORN, MI 48126
Wayne County (313) 846-2606
SHAWNTEAL NICOLE PERNELL LMSW
Social Worker
1 PARKLANE BLVD, SUITE 1210E
DEARBORN, MI 48126
Wayne County (313) 283-8661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Wise's NPI number?

The NPI number for Breanna Wise is 1013722552. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Breanna Wise located?

Breanna Wise practices at 1 Parklane Blvd, Dearborn, MI 48126. The listed phone number is (313) 846-2606.

What is Breanna Wise's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Breanna Wise was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.