Individual
MICHELLE WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
246 W SWANNANOA AVE, LIBERTY, NC 27298-3214
(336) 795-7016
Mailing address
364 WHITE OAK ST, ASHEBORO, NC 27203-5434
(336) 625-5151
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
196010
NC
363LF0000X
Family Nurse Practitioner
Primary
5018324
NC
Other
Enumeration date
03/15/2023
Last updated
08/15/2024
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