Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breanna Wilson

Individual provider Registered Nurse · NPI 1336071398

Breanna Wilson is a Registered Nurse in Fairmont, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2026

Practice location Address checks out

789 Grassy Run Rd
Fairmont, WV 26554-5925
Phone: (304) 669-6137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 94651 (WV)

Record details

NPI number1336071398
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 2, 2026
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address789 Grassy Run Rd, Fairmont, WV 26554-5925

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