Individual
RASHONDA L WAITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4701 BOAT CLUB RD STE 325, FORT WORTH, TX 76135-2120
(817) 238-1950
Mailing address
4701 BOAT CLUB RD STE 325, FORT WORTH, TX 76135-2120
(817) 238-1950
(817) 238-1975
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1170962
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1170962
TX
Other
Enumeration date
07/24/2024
Last updated
03/05/2026
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