Provider Demographics
NPI:1487170205
Name:BEDILION, WILLIAM WARD (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:WARD
Last Name:BEDILION
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:WARD
Other - Last Name:BEDILION
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN, FNP-C
Mailing Address - Street 1:3938 NEWBURY RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE HOCKING
Mailing Address - State:OH
Mailing Address - Zip Code:45742-5390
Mailing Address - Country:US
Mailing Address - Phone:740-989-3097
Mailing Address - Fax:740-989-3101
Practice Address - Street 1:3938 NEWBURY RD
Practice Address - Street 2:
Practice Address - City:LITTLE HOCKING
Practice Address - State:OH
Practice Address - Zip Code:45742-5390
Practice Address - Country:US
Practice Address - Phone:740-989-3097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-15
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN53045363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty