Individual provider · NPI-1
Ashley Wimmer
Registered Nurse, General Practice · Kettering, OH
NPI number1255186276
StatusActive
Last updated in NPPESApr 22, 2024
Details
- NPI
- 1255186276
- Entity type
- Individual (NPI-1)
- Name
- Ashley Wimmer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2024
- Certification date
- Apr 22, 2024
- Last updated
- Apr 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | RN.468087 | OH | Yes |
| 163WH0200X | Registered Nurse, Home Health | RN.468087 | OH | |
| 163WM0705X | Registered Nurse, Medical-Surgical | RN.468087 | OH |
Practice location
1021 Ansel DrKettering, OH 45419-2302
Phone 937-900-8192
Mailing address
1021 Ansel DrKettering, OH 45419-2302
Phone 937-900-8192
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