Provider Demographics
NPI:1629662820
Name:WENNING, LORI J (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:J
Last Name:WENNING
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5063 WARVEL RD
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:OH
Mailing Address - Zip Code:45303-8960
Mailing Address - Country:US
Mailing Address - Phone:937-417-1326
Mailing Address - Fax:
Practice Address - Street 1:828 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1206
Practice Address - Country:US
Practice Address - Phone:937-569-6996
Practice Address - Fax:937-569-6079
Is Sole Proprietor?:No
Enumeration Date:2021-02-28
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.026534363L00000X
OH026534363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner