Basic Information
Provider Information
NPI: 1477878999
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WOEHLER
FirstName: JANET
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 715385
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432715385
CountryCode: US
TelephoneNumber: 4408790081
FaxNumber: 4408790084
Practice Location
Address1: 400 WABASH AVE
Address2:  
City: AKRON
State: OH
PostalCode: 443072433
CountryCode: US
TelephoneNumber: 3303446000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/29/2010
LastUpdateDate: 03/29/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XNP-10924OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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