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Individual

HEATHER KLANER-WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CFRN

Contact information

Practice address
705 N WEST ST, WAYNESBURG, PA 15370-1065
(724) 562-9176
Mailing address
705 N WEST ST, WAYNESBURG, PA 15370-1065
(724) 562-9176

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
71127
WV
163WE0003X
Emergency Registered Nurse
Primary
L1-0048490
DE
163WF0300X
Flight Registered Nurse
71127
WV

Other

Enumeration date
04/28/2016
Last updated
04/28/2016
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