Provider Demographics
NPI:1164000857
Name:WEHRLEY, VANESSA MOORE SALUPO (CNP)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:MOORE SALUPO
Last Name:WEHRLEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 WELLER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-3306
Mailing Address - Country:US
Mailing Address - Phone:937-667-0400
Mailing Address - Fax:937-506-3991
Practice Address - Street 1:70 WELLER DR STE 100
Practice Address - Street 2:
Practice Address - City:TIPP CITY
Practice Address - State:OH
Practice Address - Zip Code:45371-3306
Practice Address - Country:US
Practice Address - Phone:937-667-0400
Practice Address - Fax:937-506-3991
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0028600363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care