Provider Demographics
NPI:1184898751
Name:WALDBAUER, MARGARET DEXTER (ND)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:DEXTER
Last Name:WALDBAUER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:D
Other - Last Name:DEXTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 220
Mailing Address - Street 2:
Mailing Address - City:SOPCHOPPY
Mailing Address - State:FL
Mailing Address - Zip Code:32358
Mailing Address - Country:US
Mailing Address - Phone:808-990-1133
Mailing Address - Fax:833-292-6386
Practice Address - Street 1:3 SUMMER STREET
Practice Address - Street 2:
Practice Address - City:SOPCHOPPY
Practice Address - State:FL
Practice Address - Zip Code:32358
Practice Address - Country:US
Practice Address - Phone:808-323-2111
Practice Address - Fax:833-292-6386
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI175175F00000X
HIND175175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath