| Doctor Name: | STEPHEN WADDELL |
| NPI Number: | 1053777573 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 0019008434 |
| Business Practice Address: | 1307 Jamestown Rd Ste. 103 Williamsburg, VA - 231853381 |
| Business Phone Number: | 7572294161 |
| Business Fax Number: | |
| Mailing Address: | 8160 N Henpeck Rd, QUINTON |
| State: | VA |
| Postal Code: | 231412313 |
| Phone Number: | 8043046241 |
| Fax Number: | |
| NPI Enumeration Date: | 01/13/2016 |
| NPI Last Update Date: | 01/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174H00000X |
| License Number: | 0019008434 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Health Educator |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor |