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NPI Code Detail

MEDICARE: CHRISTIE DAWN WETZEL CNP

MEDICARE:   CHRISTIE DAWN WETZEL  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
1363LF0000XFamily Nurse PractitionerRN-1086382KY
2363LF0000XFamily Nurse PractitionerNP-08371OH
3363LP0808XPsychiatric/Mental Health Nurse PractitionerRN-1086382KY
4363LP0808XPsychiatric/Mental Health Nurse Practitioner82214KS
5363LP0808XPsychiatric/Mental Health Nurse PractitionerNP-08371OH

Other Identifiers

General Provider Information

NPI Number : 1689622722
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIE DAWN WETZEL CNP
Provider Business Mailing Address
First Line : 10450 NEW HAVEN RD
Second Line :
City : HARRISON
State : OH
Zip : 45030-2780
Country : US
Telephone Number : 513-981-5852
Fax Number : 513-367-8031
Provider Business Practice Location Address
First Line : 10450 NEW HAVEN RD
Second Line :
City : HARRISON
State : OH
Zip : 45030-2780
Country : US
Telephone Number : 513-981-5852
Fax Number : 513-367-8031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 06/12/2023

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Practice Location Address:
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1912949918 — JOHN K. GRIMM D.O.
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45030-2780
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Directions to “ CHRISTIE DAWN WETZEL CNP” Practice Location

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