Provider Demographics
NPI:1346895737
Name:WAYBLE, ADRIANNA MARIE (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:MARIE
Last Name:WAYBLE
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:ADRIANNA
Other - Middle Name:MARIE
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3057 HIGHLAND PARK DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9049
Mailing Address - Country:US
Mailing Address - Phone:330-704-0294
Mailing Address - Fax:
Practice Address - Street 1:3057 HIGHLAND PARK DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9049
Practice Address - Country:US
Practice Address - Phone:330-704-0294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH352255163W00000X
OH025330363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse