| Doctor Name: | ALLYSON A WOERNDLE |
| NPI Number: | 1104127182 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN, CNP |
| License Number: | 11163-NP |
| Business Practice Address: | 280 Looney Rd Suite 101 Piqua, OH - 453564199 |
| Business Phone Number: | 9374408687 |
| Business Fax Number: | 9377738058 |
| Mailing Address: | Po Box 479, TROY |
| State: | OH |
| Postal Code: | 453730479 |
| Phone Number: | 9374408687 |
| Fax Number: | 9377738058 |
| NPI Enumeration Date: | 11/08/2010 |
| NPI Last Update Date: | 08/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 11163-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |