MELISSA LYNN FANNON-WISNER

MARTINSBURG, WV
NPI1891245981
Former NameMELISSA LYNN FANNON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  105608)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: VA  0024185033)
363LF0000X Nurse Practitioner, Family
(Licence: PA  SP016840)
363LF0000X Nurse Practitioner, Family
(Licence: MD  AC003394)
363LF0000X Nurse Practitioner, Family
(Licence: MD  R184523)
Enumeration Date2016-10-12
Last Update Date2022-09-06
Business Address
Mrs. MELISSA LYNN FANNON-WISNER CRNP
101 MARCLEY DR
MARTINSBURG, WV 25401-2977
Phone number: 304-263-8911
Mailing Address
Mrs. MELISSA LYNN FANNON-WISNER CRNP
120 CAMPUS DR
MARTINSBURG, WV 25404-7552
Phone number: 410-205-0444