Individual
MS. ANDREA NICOLE NAEGELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324-2640
(937) 245-7200
Mailing address
312 W COLUMBUS ST, WEST LIBERTY, OH 43357-9232
(937) 605-4928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LE00036103
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028632
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442755
—
OH
Enumeration date
04/07/2021
Last updated
11/12/2021
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