Provider Demographics
NPI:1215528245
Name:WLEH, FREDRECIA ZEORH
Entity type:Individual
Prefix:MS
First Name:FREDRECIA
Middle Name:ZEORH
Last Name:WLEH
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:FREDRECIA
Other - Middle Name:ZEORH
Other - Last Name:WLEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5545 CANTARA PL APT 6
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-1522
Mailing Address - Country:US
Mailing Address - Phone:614-599-4538
Mailing Address - Fax:
Practice Address - Street 1:5545 CANTARA PL APT 6
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-1522
Practice Address - Country:US
Practice Address - Phone:614-599-4538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH174281164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse