| NPI | 1003055757 |
|---|---|
| Professional Name | ANDI WYDMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: OH RN130797) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OH RN130797) |
| 163WW0000X Registered Nurse, Wound Care (Licence: OH RN 130797) | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |