MEDICARE: ALISON WISER CNC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1043978505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON WISER CNC

Provider Business Mailing Address
First Line	:	2416 S LAMAR BLVD STE B
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-4709
Country	:	US
Telephone Number	:	512-445-7373
Fax Number	:

Provider Business Practice Location Address
First Line	:	2416 S LAMAR BLVD STE B
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-4709
Country	:	US
Telephone Number	:	512-445-7373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2021
Last Update Date	:	09/11/2025

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Directions to “ ALISON WISER CNC” Practice Location

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