Dustin Wattenberger
Nurse Practitioner - Family Medicine
1100 Richmond Rd
Irvine
, Kentucky 40336-7231
Dustin Wattenberger
Nurse Practitioner - Family Medicine
1100 Richmond Rd
Irvine
, Kentucky 40336-7231
(513) 981-5015
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Dustin Wattenberger
- Po Box 636493
- Cincinnati, OH
- Zip : 45263-6493
- Fax : (513) 981-5015
- Phone : (513) 981-5130
Second Address
- Dustin Wattenberger
- 1100 Richmond Rd
- Irvine, KY
- Zip : 40336-7231
- Fax : (606) 726-9410
- Phone : (606) 723-7706
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FAQs
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Is Dustin Wattenberger a sole practitioner?
Is Dustin Wattenberger accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3008537 | KY |
National Provider Identifier
| NPI | 1003231432 |
|---|---|
| Provider Name | Dustin Wattenberger |
| First Address | Cincinnati, OH 45263-6493 |
| Second Address | Irvine, KY 40336-7231 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2014 |
| Last Update Date | 09/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7100291580 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.