Individual provider · Type 1 NPI

Gillian Diederich Wenzke, AG-ACNP

Nurse Practitioner · Dayton, OH

NPI number 1669925673 Active

Practice location

500 Lincoln Park Blvd, Suite 100
Dayton, OH 45429-3492

Fax (937) 222-1436

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCNP.019493 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669925673

Gillian Diederich Wenzke, AG-ACNP's National Provider Identifier is 1669925673, issued on Jul 26, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dayton, OH. The record was last updated on Nov 8, 2024.