Provider Demographics
NPI:1164000857
Name:WEHRLEY, VANESSA MOORE SALUPO (CNP)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:MOORE SALUPO
Last Name:WEHRLEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 KIENLE DR
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-4120
Mailing Address - Country:US
Mailing Address - Phone:937-916-2700
Mailing Address - Fax:
Practice Address - Street 1:200 KIENLE DR
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-4120
Practice Address - Country:US
Practice Address - Phone:937-916-2700
Practice Address - Fax:937-773-9810
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0028600363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care