# MS. BETH ANN WADDELL-VANDEGEIJN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275535452
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | R112485 | MD | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 11/10/2011