| Provider / Organization | NPI | Date Certified |
|---|---|---|
| WESLEY MORGAN HANNEBAUM MCCOMAS | 1952888422 | 2024-04-05 |
Wesley Morgan Mccomas [F] graduated in 2018 and primarily specializes in Nurse Practitioner.
Wesley Morgan Hannebaum Mccomas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952888422. Registration indicates Wesley Morgan Hannebaum Mccomas is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 42648578 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Wesley Morgan Hannebaum Mccomas FNP |
| Practice Office Address | 2443 TROY RD SPRINGFIELD, OH US |
| Practice Office Telephone | 7405664621 |
| Mailing Address | 2111 E STATE ST ATHENS, OH 457012138 US |
| Business Telephone | 7405664621 |
| Business Fax | 7405664622 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 30 Remick Blvd | Springboro, OH 450669168 | 9376190222 / 9376196248 |
| 3006 N County Road 25A Ste 200 | Troy, OH 453731372 | 9373398426 / 9373359790 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | APRN.CNP022835
OH |
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | APRN.CNP.022835
OH |