Provider Demographics
NPI:1083005060
Name:WUO, EDITH (RN)
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:
Last Name:WUO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 BYRNWYCK CT
Mailing Address - Street 2:
Mailing Address - City:DEFIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:43512-8843
Mailing Address - Country:US
Mailing Address - Phone:419-439-2536
Mailing Address - Fax:
Practice Address - Street 1:1261 BYRNWYCK CT
Practice Address - Street 2:
Practice Address - City:DEFIANCE
Practice Address - State:OH
Practice Address - Zip Code:43512-8843
Practice Address - Country:US
Practice Address - Phone:419-439-2536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-11
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.367650163W00000X
OH0032920163WP0809X
OHAPRN.CNP.0032920363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult