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Holli Sansom
School Registered Nurse in Logan, West Virginia
NPI 1942977939

Holli Sansom is a School Registered Nurse based in Lorado, WV and is specialized in School. Holli Sansom practices in Logan, WV. The NPI Number for Holli Sansom is 1942977939 and holds a License No. 92005 (West Virginia).

The current practice location address for Holli Sansom is 506 Holly Ave, Logan, WV and can be reached out via phone at 304-752-1550.

Location: 506 Holly Ave, Logan, WV, 25630-0388
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942977939
Provider Name
Holli Sansom
Credential
Provider Entity Type
Individual
Gender
Female
Address
506 Holly Ave, Logan, WV, 25630-0388
Phone Number
304-752-1550
Fax Number
Provider Enumeration Date
08/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
506 Holly Ave
City
Logan
State
West Virginia
Zip
25601-3306
Phone Number
304-752-1550
Fax Number
person
Provider Business Mailing Address Details
Address
506 Holly Ave
City
Logan
State
West Virginia
Zip
25601-3306
Phone Number
304-752-1550
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
92005 (West Virginia)
Definition
Definition to come...
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