Individual
JAMES V WIANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1460 ORANGE ST, COSHOCTON, OH 43812-2229
(740) 622-6411
(740) 623-4240
Mailing address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9000
(740) 392-0167
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.19088
OH
363LA2200X
Adult Health Nurse Practitioner
RN206063
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.01652
OH
367500000X
Certified Registered Nurse Anesthetist
RN206063
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0932521
—
OH
01
—
430065906
RAILROAD MEDICARE
OH
Enumeration date
03/23/2006
Last updated
12/15/2022
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