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Crystal Lea Wise, RN
Home Health Registered Nurse in Moundsville, West Virginia
NPI 1093423386

Crystal Lea Wise is a Home Health Registered Nurse based in Moundsville, WV and is specialized in Home Health. Crystal Lea Wise practices in Moundsville, WV and has the professional credentials of RN. The NPI Number for Crystal Lea Wise is 1093423386 and holds a License No. 76436 (West Virginia).

The current practice location address for Crystal Lea Wise is 100 Teletech Dr Ste 1, Moundsville, WV and can be reached out via phone at 304-231-4115.

Location: 100 Teletech Dr Ste 1, Moundsville, WV, 26041-1020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093423386
Provider Name
Crystal Lea Wise
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
100 Teletech Dr Ste 1, Moundsville, WV, 26041-1020
Phone Number
304-231-4115
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Teletech Dr Ste 1
City
Moundsville
State
West Virginia
Zip
26041-2790
Phone Number
304-231-4115
Fax Number
person
Provider Business Mailing Address Details
Address
100 Teletech Dr Ste 1
City
Moundsville
State
West Virginia
Zip
26041-2790
Phone Number
304-231-4115
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
76436 (West Virginia)
Definition
Definition to come...
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