Individual
TIFFANY WAGUESPACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1151 MARGUERITE ST, STE 700A, MORGAN CITY, LA 70380-1850
(985) 221-4400
Mailing address
605 WILLOW ST, MORGAN CITY, LA 70380-2651
(985) 518-4263
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP08550
LA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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