LOUISE C WASZAK, PHD, ARNP, FNP-BC, Family LAKE CITY, FL

Contact Information

LOUISE C WASZAK, PHD, ARNP, FNP-BC

4520 W US HIGHWAY 90
LAKE CITY, FL 32055-8341

Phone: 386-719-3939
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Medical-Surgical	364SM0705X	89	Certified Clinical Nurse Specialist
Pediatrics	363LP0200X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for LOUISE C WASZAK · (Female)

NPI Number	`1710964093`
Status	Active
Credentials	PHD, ARNP, FNP-BC
Entity	Individual
Enumeration date	12/28/2005
Last updated	03/07/2023 - About 3 years ago
Sole proprietor ¹	Yes
Identifiers	FL License # ARNP 9322769 PA License # SP 009371 PA License # SP002220D WA License # AP30008047 WA Medicaid 9655978 Other 8946801 CRIME VICTIMS Other 230417 L&I MD Other 2006009683 ANCC FNP CERT MD Other 0211088-06 ANCC PNP CERT MD Other 20060018 PNCB AC-PNP CERT WA Other G8871961 NEW MEDICARE KING CO WA Other G8871962 NEW MEDICARE SNO. CO
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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LOUISE C WASZAK, PHD, ARNP, FNP-BC – NPI #1710964093Family

Contact Information

Specialty

Family

Medical-Surgical

Pediatrics

NPI Profile & details for LOUISE C WASZAK · (Female)

Reviews for LOUISE C WASZAK

LOUISE C WASZAK, PHD, ARNP, FNP-BC – NPI #1710964093
Family