Individual provider · Type 1 NPI

Comis Waddell

Critical Care Medicine Registered Nurse · Shreveport, LA

NPI number 1811530926 Active

Practice location

510 E Stoner Ave
Shreveport, LA 71101-4243

Mailing address

3925 Le Brooke Ln
Benton, LA 71006-9726

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X208329 (LA)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1811530926

Comis Waddell's National Provider Identifier is 1811530926, issued on Oct 21, 2019. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Shreveport, LA. The record was last updated on Oct 21, 2019.