IndividualActive
Andrea Wydman, RN
NPI 1003055757 · Home Health Registered Nurse · Dayton, OH
Provider details
- NPI number
- 1003055757
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN130797 (OH)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Nursing Service Providers
Practice location
959 Broad Blvd
Dayton, OH 45419-2029
Phone: (937) 694-2931
Fax: (937) 298-6388
Approximate (ZIP-level) locationGet directions
Mailing address
959 Broad Blvd
Dayton, OH 45419-2029
Registry dates
- Enumerated
- 2009-02-19
- Last updated
- 2009-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.