Individual
MARILYN LOUISE DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1300 FORT PIERPONT DR STE 101, MORGANTOWN, WV 26508-1314
(304) 241-7150
(304) 599-8917
Mailing address
305 GRANDVIEW AVE, MORGANTOWN, WV 26501
(304) 241-7150
(304) 599-8917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
94648
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN103976FNP
WV
Other
Enumeration date
06/27/2019
Last updated
08/16/2024
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