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NPI Code Detail

MEDICARE: MS. NANCY ELIZABETH WERNZ RN

MEDICARE: MS. NANCY ELIZABETH WERNZ RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WA2000XAdministrator Registered NurseRN-260975OH
2163WA0400XAddiction (Substance Use Disorder) Registered NurseRN.260975OH

General Provider Information

NPI Number : 1174610109
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY ELIZABETH WERNZ RN
Provider Business Mailing Address
First Line : 1105 SCHROCK RD STE 130
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-1174
Country : US
Telephone Number : 614-431-3655
Fax Number :
Provider Business Practice Location Address
First Line : 1791 ALUM CREEK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1708
Country : US
Telephone Number : 614-445-8131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 04/10/2018

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