Provider Demographics
NPI:1033692355
Name:WAYBRIGHT, JUDITH A (RN)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:A
Last Name:WAYBRIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13210 PRESTONWOOD FOREST DR APT 194
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4255
Mailing Address - Country:US
Mailing Address - Phone:832-633-3298
Mailing Address - Fax:
Practice Address - Street 1:13210 PRESTONWOOD FOREST DR APT 194
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4255
Practice Address - Country:US
Practice Address - Phone:832-633-3298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX655827163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse