MEDICARE: ANGELA WUEBBLING APRN, CNP

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
1	363LF0000X	Family Nurse Practitioner	022952	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SS128595	OTHER	OH	DRIVERS LISCENCE

General Provider Information

NPI Number	:	1538685102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA WUEBBLING APRN, CNP

Provider Business Mailing Address
First Line	:	740 W GALBRAITH RD STE 190
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-6002
Country	:	US
Telephone Number	:	513-346-3399
Fax Number	:	513-853-5543

Provider Business Practice Location Address
First Line	:	740 W GALBRAITH RD STE 190
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-6002
Country	:	US
Telephone Number	:	513-346-3399
Fax Number	:	513-853-5543

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2017
Last Update Date	:	02/16/2026

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