Individual
WESLEY MORGAN HANNEBAUM MCCOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2443 TROY RD, SPRINGFIELD, OH 45504-4233
(740) 566-4621
Mailing address
2111 E STATE ST, ATHENS, OH 45701-2138
(740) 566-4621
(740) 566-4622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.022835
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP022835
OH
Other
Enumeration date
07/26/2018
Last updated
04/05/2024
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