Individual
DONNA SUE DISPANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 HOSPITAL DR STE 3, PETERSBURG, WV 26847-9570
(304) 257-1015
(304) 257-1129
Mailing address
64 BLUEBERRY DR, MATHIAS, WV 26812-8351
(540) 325-6436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
102330
WV
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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