Nicole Rae Waugh
Technician/Technologist
346 68th St Sw
Kentwood
, Michigan 49548-7179
Nicole Rae Waugh
Technician/Technologist
346 68th St Sw
Kentwood
, Michigan 49548-7179
(248) 712-4381
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About
Features
Specialties
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Nicole Rae Waugh
- 346 68th St Sw
- Kentwood, MI
- Zip : 49548-7179
- Fax : (248) 712-4381
- Phone : (616) 202-5161
Second Address
- Nicole Rae Waugh
- 346 68th St Sw
- Kentwood, MI
- Zip : 49548-7179
- Fax : (248) 712-4381
- Phone : (616) 202-5161
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist |
National Provider Identifier
| NPI | 1205411956 |
|---|---|
| Provider Name | Nicole Rae Waugh |
| First Address | Kentwood, MI 49548-7179 |
| Second Address | Kentwood, MI 49548-7179 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2021 |
| Last Update Date | 15/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.