Individual provider · Type 1 NPI
Andenum Amos Waquong, MD, DNP, PHN, FNP-C
Military Hospital · White Bear Lake, MN
NPI number
1346083219
Active
Practice location
2730 County Road E E
White Bear Lake, MN 55110-4963
Mailing address
5210 Porchlight Bay
Woodbury, MN 55129-3700
Other practice locations
- Psc 1300, 452 Med Det, Apo, AA 34042 · (786) 684-4724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95283925 (CA) |
| Family Nurse Practitioner | 363LF0000X | 11769 (MN) |
| Military Hospital Primary | 286500000X | None listed |
| Family Nurse Practitioner | 363LF0000X | RN262014 (GA) |
| Nurse Practitioner | 363L00000X | 11769 (MN) |
| Registered Nurse | 163W00000X | RN262014 (GA) |
| Registered Nurse | 163W00000X | 2310523 (MN) |
Military Hospital: A health care facility operated by the Department of Defense.
12 other providers at this address
- Alexander James Isabel, P.A.Physician Assistant White Bear Lake, MN NPI 1104549625
- Catherine Agallo DeyaFamily Nurse Practitioner White Bear Lake, MN NPI 1205271004
- Chalchisa Geleta, PharmDPharmacist White Bear Lake, MN NPI 1285354910
- Joy Yang, PA-CPhysician Assistant White Bear Lake, MN NPI 1245219922
- Katerina Goncharuk, PHARDPharmacist White Bear Lake, MN NPI 1467087726
- Madison Faith Shreffler, PharmDPharmacist White Bear Lake, MN NPI 1255256202
- Monica BeulkeFamily Nurse Practitioner White Bear Lake, MN NPI 1629276050
- Olivia Grev, NPFamily Nurse Practitioner White Bear Lake, MN NPI 1871411280
- Ramona Ann Allard-Hendren, MSNFamily Nurse Practitioner White Bear Lake, MN NPI 1356335962
- Robin Erickson, PA-CPhysician Assistant White Bear Lake, MN NPI 1982174694
- Roger K. Koopman, PAPhysician Assistant White Bear Lake, MN NPI 1023025566
- Shannon Rising, NPFamily Nurse Practitioner White Bear Lake, MN NPI 1295656510
About NPI 1346083219
Andenum Amos Waquong, MD, DNP, PHN, FNP-C's National Provider Identifier is 1346083219, issued on Jun 17, 2024. The primary taxonomy on file is Military Hospital (286500000X), and the practice location is in White Bear Lake, MN. The record was last updated on Aug 27, 2026.