# MS. PHYLLIS WAIGWA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386500684
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | 295363 | AZ | — |
| 163WC0400X | Case Management Registered Nurse | 295363 | AZ | — |
| 163WG0600X | Gerontology Registered Nurse | 295363 | AZ | Yes |
| 163WH0200X | Home Health Registered Nurse | 295363 | AZ | — |
| 163WH1000X | Hospice Registered Nurse | 295363 | AZ | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 295363 | AZ | — |
| 163WW0000X | Wound Care Registered Nurse | 295363 | AZ | — |

## Other

- **Enumeration date:** 12/30/2025
- **Last updated:** 12/30/2025