Individual
MRS. EDNA PAULINE HISIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
640 SANDHILL RD, POINT PLEASANT, WV 25550-2163
(304) 675-5236
Mailing address
PO BOX 280, CABIN CREEK, WV 25035-0280
(304) 344-1623
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3013917
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN54832
WV
Other
Enumeration date
01/31/2007
Last updated
05/26/2023
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