Individual
MRS. MICHELLE LEA WALDBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CNOR, RNFA
Contact information
Practice address
5902 NUGGET CIR, HUNTINGTON BEACH, CA 92647-2131
(714) 951-1469
Mailing address
5902 NUGGET CIR, HUNTINGTON BEACH, CA 92647-2131
(714) 951-1469
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95022225
CA
163WR0006X
Registered Nurse First Assistant
Primary
95022225
CA
Other
Enumeration date
08/15/2016
Last updated
09/22/2020
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