Type 1 individualNPI 1194650846

AMANDA JO WASEMANN

225200000X · WHEELING, WV

Why this profile is appearing now

Observed change signals

Newly enumerated

The official enumeration date falls within the documented new-enumeration window.

  • Enumeration date is 39 days before observation

Reported classification

Taxonomies

CodeDescriptionSource flag
225200000X 225200000X Primary
225200000X 225200000X Additional

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s