DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHYLLIS WAGUESPACK, R.N.

Active Sole Proprietor

Child & Adolescent Psychiatric Nurse · LA PLACE, LA

Registration Details

NPI Number
1609156397
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2011 (14.690444079619 yrs)
Last Updated
Aug 25, 2011
License
RN042692 (LA)
Sole Proprietor
Yes

Practice Information

Address
1809 W AIRLINE HWY
LA PLACE, LA, 700683336
Browse LA providers · Browse ZIP 70068
Phone
9856528444
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in LA PLACE, LA

Name Credential NPI
MS. NANCY DENISE PHERIGO R.N. 1649326364
EVA KELLEY 1942356688
ANGELLE AMEDEE R.N. 1043590714
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.