Individual
KRISTIAN C WAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1200 STANFORD AVE, BATON ROUGE, LA 70808-3643
(888) 322-6432
(888) 329-6432
Mailing address
1200 STANFORD AVE, BATON ROUGE, LA 70808-3643
(888) 322-6432
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN082177
LA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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