Individual
MR. ANDREW THOMAS WASSON
Active
Individual
MR. ANDREW THOMAS WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
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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