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NPI Code Detail

MEDICARE: MRS. ANNA WAITES

MEDICARE: MRS. ANNA WAITES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1063346328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNA WAITES
Provider Business Mailing Address
First Line : 4000 SANCAR WAY STE 410
Second Line :
City : DURHAM
State : NC
Zip : 27713-2891
Country : US
Telephone Number : 919-371-2848
Fax Number :
Provider Business Practice Location Address
First Line : 4000 SANCAR WAY STE 410
Second Line :
City : DURHAM
State : NC
Zip : 27713-2891
Country : US
Telephone Number : 919-371-2848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ MRS. ANNA WAITES ” Practice Location

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