IndividualActive
Crystal Wise, RN
NPI 1093423386 · Home Health Registered Nurse · Moundsville, WV
Provider details
- NPI number
- 1093423386
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 76436 (WV)
Specialties & taxonomies
Nursing Service Providers
Practice location
100 Teletech Dr Ste 1
Moundsville, WV 26041-2790
Phone: (304) 231-4115
Approximate (ZIP-level) locationGet directions
Mailing address
4 Sandy Ave
Moundsville, WV 26041-1020
Registry dates
- Enumerated
- 2022-11-07
- Last updated
- 2022-11-07
- Certified
- 2022-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.