NPI 1336071398

Breanna Wilson

Practitioner Registered Nurse Fairmont, WV

Practice location

Address: 789 Grassy Run Rd, Fairmont, WV 26554-5925
Phone: (304) 669-6137

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 94651 (WV)

Other Registered Nurse providers in West Virginia →

Registry record

NPI: 1336071398
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2026
Record last updated: 2 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.