NPI 1053777573

Stephen Waddell

Practitioner Health Educator Williamsburg, VA

Practice location

Address: 1307 Jamestown Rd STE. 103, Williamsburg, VA 23185-3381
Phone: (757) 229-4161
Mailing address: 8160 N Henpeck Rd, Quinton, VA 23141-2313

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X Licence 0019008434 (VA)

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Registry record

NPI: 1053777573
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2016
Record last updated: 13 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.