Provider Demographics
NPI:1982101507
Name:WAIGI, ANNE (RN NURSE DELEGATOR)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:WAIGI
Suffix:
Gender:F
Credentials:RN NURSE DELEGATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6422 SUMMERWOOD DR E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-5016
Mailing Address - Country:US
Mailing Address - Phone:832-372-3716
Mailing Address - Fax:
Practice Address - Street 1:6422 SUMMERWOOD DR E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-5016
Practice Address - Country:US
Practice Address - Phone:832-372-3716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-10
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60668166163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse