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Denielle Waschek, APRN

Nurse Practitioner, Family in Lake City, FL. Individual provider (NPI-1).

NPI number1083176820
StatusActive
Last updated in NPPESMar 8, 2022

Details

NPI
1083176820
Entity type
Individual (NPI-1)
Name
Denielle Waschek
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2019
Certification date
Mar 8, 2022
Last updated
Mar 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN11001921FLYes

Practice location

4367 Nw American Ln
Lake City, FL 32055-4828

Phone 386-758-6094 · Fax 386-758-6995

Mailing address

4367 Nw American Ln
Lake City, FL 32055-4828

Phone 386-758-6094 · Fax 386-758-6995

Other practice locations

1500 Ohio Ave N
Live Oak, FL 32064-4820

Phone 386-758-6094 · Fax 386-758-6995

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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