1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MR. ANDREW DAVID WUEBOLD
NPI 1083117923
Student in an Organized Health Care Education/Training Program in Lawrenceville, GA

Active since March 16, 2018
175 GWINNETT DR, LAWRENCEVILLE, GA 30046(678) 209-2394 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 14, 2024, Jan 25, 2023, Mar 16, 2018 (3 updates tracked since 2018).

About Mr. Andrew David Wuebold NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDREW DAVID WUEBOLD (NPI 1083117923) is an individual student in an organized health care education/training program in Lawrenceville, Georgia and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1083117923
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. ANDREW DAVID WUEBOLD
Location Address175 GWINNETT DRLawrenceville, GA 30046-8444
Mailing Address130 Saint Charles AveSan Francisco, CA 94132-3234
Phone(678) 209-2394
Sole ProprietorNo
Enumeration DateMarch 16, 2018
Last NPPES UpdateJune 14, 20243 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1083117923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
175 GWINNETT DR, Lawrenceville, GA 30046
Open in Google Maps ↗

Other Names 1

Former Name (1)Andrew David Otteson

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATHERINE ANNE STURGIS
Counselor
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
FATIMA FLYNN MS
Counselor
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
HARRIET ADIGWU RN
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
ROSE MARY AGUILAR
Behavior Technician
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
ANGELLA BRAMWELL
Counselor (Mental Health)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-2395
INDIA N HUDSON LPN
Licensed Practical Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
MRS. LATRINA GRAHAM RN
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
MR. JAHID KWAKU ROSS NURSE PRACTITIONER
Nurse Practitioner (Family)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 209-2394

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Wuebold's NPI number?

The NPI number for Andrew Wuebold is 1083117923. It was assigned to this individual provider in the NPPES registry on March 16, 2018. The provider is also known as Andrew David Otteson.

Where is Andrew Wuebold located?

Andrew Wuebold practices at 175 Gwinnett Dr, Lawrenceville, GA 30046. The listed phone number is (678) 209-2394.

What is Andrew Wuebold's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andrew Wuebold was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.