ANDREA LYNNE WYDMAN RN NPI 1003055757

NPI Information

NPI: 1003055757
Provider Name: ANDREA LYNNE WYDMAN, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
959 BROAD BLVD
DAYTON, OH
ZIP 45419
Phone: (937) 694-2931
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Andrea Lynne Wydman, RN is a home health registered nurse in Dayton, OH. Andrea Lynne Wydman, RN NPI is 1003055757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

959 BROAD BLVD
DAYTON, OH
ZIP 45419-029
Phone: (937) 694-2931
Fax: (937) 298-6388

The enumeration date for this NPI number is 2/19/2009 and was last updated on 2/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management	RN130797	OHIO	No
2	163WW0000X	Registered Nurse	Wound Care	RN 130797	OHIO	No
3	163WH0200X	Registered Nurse	Home Health	RN130797	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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