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Ms. Diedre Ann Wisniewski, RN
Student in an Organized Health Care Education/Training Program in Summersville, West Virginia
NPI 1225341555

Diedre Ann Wisniewski is a Student in an Organized Health Care Education/Training Program based in Summersville, WV. Diedre Ann Wisniewski practices in Summersville, WV and has the professional credentials of RN. The NPI Number for Diedre Ann Wisniewski is 1225341555 and holds a License No. 64342 (West Virginia).

The current practice location address for Diedre Ann Wisniewski is 400 Old Main Dr, Summersville, WV and can be reached out via phone at 304-872-3611 and via fax at 304-872-4626.

Location: 400 Old Main Dr, Summersville, WV, 26651-1360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225341555
Provider Name
Diedre Ann Wisniewski
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
400 Old Main Dr, Summersville, WV, 26651-1360
Phone Number
304-872-3611
Fax Number
304-872-4626
Provider Enumeration Date
07/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 Old Main Dr
City
Summersville
State
West Virginia
Zip
26651-1360
Phone Number
304-872-3611
Fax Number
304-872-4626
person
Provider Business Mailing Address Details
Address
400 Old Main Dr
City
Summersville
State
West Virginia
Zip
26651-1360
Phone Number
304-872-3611
Fax Number
304-872-4626
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
64342 (West Virginia)
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.
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