Weddle, Andrea D
Weddle, Andrea D is an individual health care provider with primary practice located at 1097 Weston Drive Suite B, Mount Juliet TN 37122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Weddle, Andrea D can be contacted via phone (615) 553-5002.Contact Information
Primary practice address
1097 Weston Drive Suite B
Mount Juliet TN 37122
Phone: (615) 553-5002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 12094 | Tennessee |
Profile Details
| NPI number | 1376598011 |
|---|---|
| LBN Legal business name | Weddle, Andrea D |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jan 18th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376598011 | NPPES |
| Ohio | MEDICAID | 2358676 | |
| Ohio | Other | 000000252439 | |
| Ohio | Other | NM02611 | |
| Ohio | Other | 420001752 |
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