MEDICARE: ASHLEY NICOLE WAHBA RN, APRN-FNP-C

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	363L00000X	Nurse Practitioner	APRN.CNP.0031371	OH
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.0031371	OH

General Provider Information

NPI Number	:	1912643073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY NICOLE WAHBA RN, APRN-FNP-C

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-366-6886
Fax Number	:	614-685-2495

Provider Business Practice Location Address
First Line	:	1075 BEECHER XING N STE A
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-4572
Country	:	US
Telephone Number	:	614-366-6886
Fax Number	:	614-685-2495

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

Provider Enumeration Date	:	05/10/2022
Last Update Date	:	02/03/2026

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