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Contact Information

ANDREA L WYDMAN, RN
959 BROAD BLVD
DAYTON, OH45419-2029
 Phone: 937-694-2931
 Fax: 937-298-6388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Case Management

163WC0400X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for ANDREA L WYDMAN · (Female)

NPI Number 1003055757
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/19/2009
Last updated 02/19/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # RN 130797
  • OH License # RN130797
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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