Individual
MRS. BRENDA JANE WAUGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
9500 EUCLID AVE # A120, CLEVELAND, OH 44195-0001
(216) 444-9000
(216) 445-1035
Mailing address
34789 HARDWOOD DR, NORTH RIDGEVILLE, OH 44039-2891
(440) 554-9210
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
292991-1
OH
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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