NPI 1003055757

Andrea Lynne Wydman, RN

Practitioner Home Health Registered Nurse Dayton, OH

Practice location

Address: 959 Broad Blvd, Dayton, OH 45419-2029
Phone: (937) 694-2931
Fax: (937) 298-6388

Registered specialties (3)

Home Health Registered Nurse Primary

Nursing Service Providers Taxonomy 163WH0200X Licence RN130797 (OH)

Other Registered Nurse providers in Ohio →

Case Management Registered Nurse

Nursing Service Providers Taxonomy 163WC0400X Licence RN130797 (OH)

Wound Care Registered Nurse

Nursing Service Providers Taxonomy 163WW0000X Licence RN 130797 (OH)

Registry record

NPI: 1003055757
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2009
Record last updated: 19 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.