Barbara J Wieferich, APRN, BC

Individual provider Active NPI Adult Health Nurse Practitioner · Vincent, OH

NPI 1992887939 · NPPES record last updated Nov 3, 2010

Key facts

NPI
1992887939
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
NP01879 (OH)
Practice address
40 White Oak Professional Ctr
Vincent, OH 45784-9117
Phone
(740) 678-2374
Fax
(740) 678-8139
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP01879OHMDAdult Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP01879 OH Yes

Addresses

Primary practice location

40 White Oak Professional Ctr
Vincent, OH 45784-9117

Mailing address

PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500

Other providers in Vincent, OH

All providers in Vincent, OH · Adult Health Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.