Shelby Waugh
Nurse Anesthetist, Certified Registered in Bradenton, FL. Individual provider (NPI-1).
NPI number1235882002
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1235882002
- Entity type
- Individual (NPI-1)
- Name
- Shelby Waugh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 1, 2022
- Certification date
- May 30, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11019684 | FL | Yes |
| 163W00000X | Registered Nurse | RN9385535 | FL |
Practice location
2020 59th St WBradenton, FL 34209-4604
Phone 941-792-6611
Mailing address
2588 17th Ave NSaint Petersburg, FL 33713-4926
Phone 727-475-0748
Other practice locations
2588 17th Ave N
Saint Petersburg, FL 33713-4926
Saint Petersburg, FL 33713-4926
Phone 727-475-0748
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