Individual provider · Type 1 NPI
Andrea Lynne Wydman, RN
Home Health Registered Nurse · Dayton, OH
NPI number
1003055757
Active
Practice location
959 Broad Blvd
Dayton, OH 45419-2029
Fax (937) 298-6388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN130797 (OH) |
| Home Health Registered Nurse Primary | 163WH0200X | RN130797 (OH) |
| Wound Care Registered Nurse | 163WW0000X | RN 130797 (OH) |
Home Health Registered Nurse: Definition to come...
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About NPI 1003055757
Andrea Lynne Wydman, RN's National Provider Identifier is 1003055757, issued on Feb 19, 2009. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Dayton, OH. The record was last updated on Feb 19, 2009.