SAMANTHA RENEE WISE

MORGANTOWN, WV
NPI1578179081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: WV  107473)
Enumeration Date2020-09-20
Last Update Date2021-07-23
Business Address
SAMANTHA RENEE WISE
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506-1200
Phone number: 304-598-4000
Mailing Address
SAMANTHA RENEE WISE
511 BURROUGHS ST APT 201
MORGANTOWN, WV 26505-3390
Phone number: 304-435-7057