MRS. Tammy Ann Wildesen, LPN
NPI #1932819265 in Keyser, West Virginia
Provider Information
- NPI Number
- 1932819265
- Entity Type
- Individual
- Name
- MRS. Tammy Ann Wildesen, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Nov 28, 2022
- Last Updated
- Nov 28, 2022
Practice Location
- Address
- 1952 NEW CREEK HWY
- City
- Keyser
- State
- West Virginia
- ZIP Code
- 26726-7494
- Phone
- (304) 597-3522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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