DR. Andenum Amos Waquong, DNP, PHN, FNP-C
NPI #1346083219 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1346083219
- Entity Type
- Individual
- Name
- DR. Andenum Amos Waquong, DNP, PHN, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- DNP, PHN, FNP-C
- Enumeration Date
- Jun 17, 2024
- Last Updated
- Jun 30, 2025
Practice Location
- Address
- 2730 COUNTY ROAD E E
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-4963
- Phone
- (651) 777-6816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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