Individual
MRS. KIMBERLY R. WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
321 MAIN ST, SUITE 5 G, JOHNSTOWN, PA 15901-1632
(814) 535-7721
(814) 535-2105
Mailing address
321 MAIN ST, SUITE 5 G, JOHNSTOWN, PA 15901-1632
(814) 535-7721
(814) 535-2105
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
VP006908M
PA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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