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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376598011 NPPES
Ohio MEDICAID 2358676
Ohio Other 000000252439
Ohio Other NM02611
Ohio Other 420001752

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