Individual
LEANNA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
800 PLAZA DR, SUITE 160, BELLE VERNON, PA 15012-4019
(412) 471-4772
Mailing address
800 PLAZA DR, SUITE 160, BELLE VERNON, PA 15012-4019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013025
PA
Other
Enumeration date
08/02/2013
Last updated
08/12/2014
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