Gregg A Waylander is a Family in Montevideo, Minnesota. Gregg A Waylander practices all healthcare services and medical treatments related to Family. The NPI Number for Gregg A Waylander is 1346248630. The last update date is 2021-12-24.
Gregg A Waylander's current location address is 824 N 11th St, Montevideo, Minnesota. You can contact this provider via phone number 3202698877 and fax number 3202698186. The mailing address for Gregg A Waylander is 824 N 11th St, Montevideo, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg A Waylander |
|---|---|
| Address | 824 N 11th St, Montevideo, Minnesota |
| Phone Number | 3202698877 |
| Fax Number | 3202698186 |
| Sole Proprietor | N |
| Credentials | F.N.P. |
NPI Number Detail
| NPI Number | 1346248630 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2021-12-24 |
Provider Mailing Address Detail
| Address | 824 N 11th St |
|---|---|
| City | Montevideo |
| State | Minnesota (MN) |
| Post Code | 562651629 |
| Phone Number | 3202698877 |
| Fax Number | 3202698186 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R139172-1 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45523700 | MN | -- |
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What is the unique 10-digit identification code issued to Gregg A Waylander by the Centers for Medicare & Medicaid Services?
The Gregg A Waylander has been assigned the NPI (National Provider Identifier) 1346248630 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Gregg A Waylander?
The Gregg A Waylander is physically situated at 824 N 11Th St, in the city of Montevideo, state of MN, with the postal code 562651629.
What is the area of specialization for Gregg A Waylander, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gregg A Waylander is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did Gregg A Waylander receive its 1346248630 assignment from the Centers for Medicare & Medicaid Services?
The Gregg A Waylander was assigned its 1346248630 on 2005-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gregg A Waylander most recently updated?
The details pertaining to the Gregg A Waylander, including its address, specialty, and other relevant information, were last refreshed on 2021-12-24.