Healthcare Provider Details

I. General information

NPI: 1487578332
Provider Name (Legal Business Name): AUBREY WOLTERS BSN-RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 S 4TH AVE
SIDNEY OH
45365-9029
US

IV. Provider business mailing address

750 S 4TH AVE
SIDNEY OH
45365-9029
US

V. Phone/Fax

Practice location:
  • Phone: 937-497-2200
  • Fax: 937-497-2211
Mailing address:
  • Phone: 937-497-2200
  • Fax: 937-497-2211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.376441
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: