Individual provider · Type 1 NPI
Stormi Breann Waddell, RN, BSN
Registered Nurse · Diana, TX
Practice location
12304 Blackman Rd
Diana, TX 75640-3421
Mailing address
755 S Beckham Ave
Tyler, TX 75701-1903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 981816 (TX) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
About NPI 1376175653
Stormi Breann Waddell, RN, BSN's National Provider Identifier is 1376175653, issued on Feb 5, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Diana, TX. The record was last updated on Feb 5, 2020.