Wilt, Mandi Jo

Wilt, Mandi Jo is an sole proprietor health care provider with primary practice located at 164 Parkview Dr , Keyser WV 26726-2313. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilt, Mandi Jo can be contacted via phone (304) 597-2494.

Contact Information

Primary practice address
164 Parkview Dr Keyser WV 26726-2313
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 104532 West Virginia

Profile Details

NPI number 1164120242
LBN Legal business name Wilt, Mandi Jo
Credentials MSN, APRN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2023
Last updated Feb 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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