NPI Code Details Logo

NPI 1730035775

NPI 1730035775 : NONA WAXMAN PHD DFM LVN : COLDSPRING, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1730035775
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    NONA WAXMAN PHD DFM LVN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/10/2026
-----------------------------------------------------
    Last Update Date     |    03/10/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    55 FM 1514 
-----------------------------------------------------
    City                 |    COLDSPRING
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77331-0067
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    936-653-4005
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 67 
-----------------------------------------------------
    City                 |    COLDSPRING
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77331-0067
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    936-653-4005
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    164X00000X
-----------------------------------------------------
    Taxonomy Name        |    Licensed Vocational Nurse
-----------------------------------------------------
    License Number       |    183254
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    174H00000X
-----------------------------------------------------
    Taxonomy Name        |    Health Educator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    246RP1900X
-----------------------------------------------------
    Taxonomy Name        |    Phlebotomy Technician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    171400000X
-----------------------------------------------------
    Taxonomy Name        |    Health & Wellness Coach
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.