Individual
NANCY LOUISE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1940 BOLT RD, BOLT, WV 25817-2581
(304) 573-1598
Mailing address
PO BOX 622, FAIRDALE, WV 25839-0622
(304) 573-1598
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
98425
WV
Other
Enumeration date
04/13/2020
Last updated
04/29/2026
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