Individual
HEATHER AMANDA WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
23200 STATE ROUTE 301, WELLINGTON, OH 44090-9637
(440) 822-5911
Mailing address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 725-1000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0027425
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027425
CNP
OH
01
—
F06201917
AANP CERTIFICATION
—
Enumeration date
01/11/2021
Last updated
09/03/2021
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