Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDENUM AMOS WAQUONG, DNP, PHN, FNP-C
ActiveDR. ANDENUM AMOS WAQUONG, DNP, PHN, FNP-C is a Nurse Practitioner healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1346083219 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1346083219
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2024 (2.1310173346121 yrs)
- Last Updated
- Jun 30, 2025
- Licenses
-
2310523 (MN)RN262014 (GA)95283925 (CA)RN262014 (GA)11769 (MN)
Practice Information
- Address
-
2730 COUNTY ROAD E EWHITE BEAR LAKE, MN, 551104963Browse MN providers · Browse ZIP 55110
- Phone
- 6517776816
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Other Nurse Practitioner Providers in WHITE BEAR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| SHIRLEY LEE BEBENSEE | NP | 1447225164 |
| MR. PATRICK G SPENCER | FNP-C | 1407949530 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.