Individual
VICTORIA JOANNA CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
146 N 19TH ST, WHEELING, WV 26003-7064
(304) 238-8606
Mailing address
146 N 19TH ST, WHEELING, WV 26003-7064
(304) 238-8606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110461
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110461
WEST VIRGINIA STATE BOARD OF NURSING
WV
Enumeration date
11/12/2021
Last updated
11/12/2021
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