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NPI Code Detail

MEDICARE: DR. WENDI WAITS MD

MEDICARE: DR. WENDI WAITS MD
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
12084P0800XPsychiatry Physician0101222240VA
22084P0804XChild & Adolescent Psychiatry Physician0101222240VA

General Provider Information

NPI Number : 1871583252
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WENDI WAITS MD
Provider Business Mailing Address
First Line : PO BOX 361
Second Line :
City : KAILUA
State : HI
Zip : 96734-0361
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 109 W 27TH ST STE 5S
Second Line :
City : NEW YORK
State : NY
Zip : 10001-6208
Country : US
Telephone Number : 833-351-8255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 09/17/2022

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Directions to “ DR. WENDI WAITS MD” Practice Location

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