Provider Demographics
NPI:1407054992
Name:WAIDA, NANCY (ARRT, (R)(CT), BSRS)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:WAIDA
Suffix:
Gender:F
Credentials:ARRT, (R)(CT), BSRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10100 WARRINGTON CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-4427
Mailing Address - Country:US
Mailing Address - Phone:512-833-5574
Mailing Address - Fax:
Practice Address - Street 1:10100 WARRINGTON CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-4427
Practice Address - Country:US
Practice Address - Phone:512-833-5574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIR-26092471C1101X
TX98082471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2471C1101XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistCardiovascular-Interventional Technology
Not Answered2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging