MEDICARE: SARAH ANN WAUGH

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
1	176B00000X	Midwife

General Provider Information

NPI Number	:	1366214512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ANN WAUGH

Provider Business Mailing Address
First Line	:	2915 N BOULEVARD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-1207
Country	:	US
Telephone Number	:	813-515-0825
Fax Number	:	813-358-3865

Provider Business Practice Location Address
First Line	:	2915 N BOULEVARD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-1207
Country	:	US
Telephone Number	:	813-515-0825
Fax Number	:	813-358-3865

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2023
Last Update Date	:	10/23/2023

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Directions to “ SARAH ANN WAUGH ” Practice Location

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