Individual
LYNDSIE RAE WRISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3100 MACCORKLE AVE SE STE 411, CHARLESTON, WV 25304-1230
(304) 343-4400
(304) 345-5005
Mailing address
15 CLEARVIEW LN, WALLBACK, WV 25285-9273
(304) 880-6232
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
114078
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992429484
—
WV
Enumeration date
09/28/2022
Last updated
07/07/2023
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