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Individual
DR. ANDENUM AMOS WAQUONG
Active
Individual
DR. ANDENUM AMOS WAQUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DNP, PHN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2310523
MN
163W00000X
Registered Nurse
95283925
CA
163W00000X
Registered Nurse
RN262014
GA
286500000X
Military Hospital
Primary
—
NULL
363L00000X
Nurse Practitioner
11769
MN
363LF0000X
Family Nurse Practitioner
11769
MN
363LF0000X
Family Nurse Practitioner
RN262014
GA
Other
Enumeration date
06/17/2024
Last updated
08/27/2026
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