Provider Demographics
NPI:1275902009
Name:WAUGH, RENEE (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:
Last Name:WAUGH
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9937 PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6175
Mailing Address - Country:US
Mailing Address - Phone:954-399-8793
Mailing Address - Fax:954-637-2020
Practice Address - Street 1:9937 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6175
Practice Address - Country:US
Practice Address - Phone:954-399-8793
Practice Address - Fax:954-637-2020
Is Sole Proprietor?:No
Enumeration Date:2015-09-22
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9309217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily