Provider Demographics
NPI:1477644904
Name:SPEIGHT, WAYNETTE TWIFORD (RN,BSN,CDE)
Entity Type:Individual
Prefix:MRS
First Name:WAYNETTE
Middle Name:TWIFORD
Last Name:SPEIGHT
Suffix:
Gender:F
Credentials:RN,BSN,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1067 WATERLILY ROAD
Mailing Address - Street 2:
Mailing Address - City:COINJOCK
Mailing Address - State:NC
Mailing Address - Zip Code:27923
Mailing Address - Country:US
Mailing Address - Phone:252-453-3766
Mailing Address - Fax:
Practice Address - Street 1:711 ROANOKE AVENUE
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909
Practice Address - Country:US
Practice Address - Phone:252-338-4370
Practice Address - Fax:252-337-7911
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC117200163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator