Individual provider · Type 1 NPI

Holli Sansom

School Registered Nurse · Logan, WV

NPI number 1942977939 Active

Practice location

506 Holly Ave
Logan, WV 25601-3306

Mailing address

PO Box 388
Lorado, WV 25630-0388

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X92005 (WV)

School Registered Nurse: Definition to come...

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About NPI 1942977939

Holli Sansom's National Provider Identifier is 1942977939, issued on Aug 26, 2021. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Logan, WV. The record was last updated on Aug 26, 2021.