Individual provider · Type 1 NPI

Pam J. Waage, CPNP

Pediatric Nurse Practitioner · St. Cloud, MN

NPI number 1487857249 Active

Practice location

1245 15th St N
St. Cloud, MN 56303-1802

Fax (320) 203-2414

Mailing address

6997 47th Ave SE
St. Cloud, MN 56304-9583

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR1041631 (MN)

Pediatric Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1487857249

Pam J. Waage, CPNP's National Provider Identifier is 1487857249, issued on Jun 8, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 8, 2007.