Andrea Lynne Wydman RN

NPI 1003055757 - Registered Nurse - 163WC0400X

NPI Details
NPI 1003055757
Gender Female
Enumeration Date 02/19/2009
Last Updated 02/19/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
959 BROAD BLVD
DAYTON OH, 45419-2029, US
Phone (937) 694-2931
Fax (937) 298-6388
Business Location
959 BROAD BLVD
DAYTON OH, 45419-2029, US
Phone (937) 694-2931
Fax (937) 298-6388
Toxanomy
Taxonomy Code 163WC0400X
License State Ohio
License Number RN130797
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According to our database, Andrea Lynne Wydman RN NPI is 1003055757, taxonomy code is 163WC0400X and license number is RN130797, license state is located at Ohio. Andrea Lynne Wydman RN physically located at 959 Broad Blvd, Dayton OH, 45419-2029. NPI Number Andrea Lynne Wydman RN has the Individual type.

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1003055757 NPI number is provided on an as is basis without warranty of any kind. 1003055757 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Lynne Wydman RN are for informational purposes only.