Individual
JENDAYI RUTHIE WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS/RN, MSN ANP
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-5900
(212) 241-5656
Mailing address
1 GUSTAVE L LEVY PL, BOX 3000, NEW YORK, NY 10029-6504
(212) 987-3100
(212) 731-5210
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306111
NY
Other
Enumeration date
07/18/2012
Last updated
04/29/2024
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