Individual
MINDY MUSSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
66 HOSPITAL PLZ STE 103, WESTON, WV 26452-8595
(304) 269-3108
Mailing address
1837 WILSIE RD, FRAMETOWN, WV 26623-7187
(304) 644-9431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91185
WV
163WP1700X
Perinatal Registered Nurse
91185
WV
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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