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Individual

MR. ANDREW THOMAS WASSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-5000
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN.360887
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020941
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0241351
OH
Enumeration date
06/22/2017
Last updated
01/25/2022
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