Doctor Name: | MS. KRISTINA MARIE WAUGH |
NPI Number: | 1033353602 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 0024168248 |
Business Practice Address: | 607 E Jubal Early Dr Winchester, VA - 226015178 |
Business Phone Number: | 5405362232 |
Business Fax Number: | |
Mailing Address: | 258 Top Meadow Ln, BERKELEY SPRINGS |
State: | WV |
Postal Code: | 254116662 |
Phone Number: | 3042610495 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2009 |
NPI Last Update Date: | 07/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024168248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |