Individual
HALEY WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-5124
Mailing address
700 TURTLE LN, LABELLE, FL 33935-6618
(561) 449-1497
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
9372119
FL
363LN0000X
Neonatal Nurse Practitioner
Primary
9372119
FL
Other
Enumeration date
02/15/2018
Last updated
06/10/2023
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