Wisnada Dorestan
Wisnada Dorestan is a Family Nurse Practitioner in Pottstown, Pennsylvania. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
444 N Mount Vernon StPottstown, PA 19464-4431
Phone: (610) 504-9217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence F355195 (NY) |
|---|
Record details
| NPI number | 1467271197 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2024 |
| Last updated in NPPES | February 28, 2025 |
| Certification date | February 28, 2025 |
| Mailing address | 121 Fleming St, Blandon, PA 19510-9597 |
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