# DR. ANDENUM AMOS WAQUONG

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

## Provider details

- **NPI number:** 1346083219
- **Gender:** Man
- **Credential:** MD, DNP, PHN, FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 2310523 | MN | — |
| 163W00000X | Registered Nurse | 95283925 | CA | — |
| 163W00000X | Registered Nurse | RN262014 | GA | — |
| 286500000X | Military Hospital | — | NULL | Yes |
| 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