Individual
SHANA F WANDLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
6135 SISSONVILLE DR, CHARLESTON, WV 25312-9444
(304) 984-1576
(304) 984-1565
Mailing address
107 KOONTZ AVE, CLENDENIN, WV 25045-9578
(304) 548-7272
(304) 548-7149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58591
WV
Other
Enumeration date
11/15/2010
Last updated
05/21/2020
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