Individual
MRS. DIANE M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
648 ELM WAY, OAKMONT, PA 15139-1502
(412) 337-1697
Mailing address
648 ELM WAY, OAKMONT, PA 15139-1502
(412) 337-1697
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN284147
PA
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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