Individual
ALEXIS NICHOLE WYMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7177 TOMAHAWK TRL, REYNOLDSBURG, OH 43068-5111
(614) 893-5315
Mailing address
7177 TOMAHAWK TRL, REYNOLDSBURG, OH 43068-5111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.157888MEDSIV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN.157888MEDSIV
NURSING BOARD
—
Enumeration date
09/19/2018
Last updated
09/19/2018
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