Gail L Waagen, CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

R13529 Issued in ND

Practice address

801 Broadway N
Fargo, ND 58102-3641

Phone

(701) 234-5015

Fax

(701) 234-7481

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1578584819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581072168",
            "telephone_number": "701-234-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581023641",
            "telephone_number": "701-234-5015",
            "fax_number": "701-234-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAAGEN",
        "first_name": "GAIL",
        "middle_name": "L",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "ND",
            "license": "R13529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70019",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison M Vote
• Joshua Wilbert Voth, PA-C
• Alexandra Vruno, MLS(ASCP)CM
• Parth Ashok Vyas, M.S
• W W Inc (Medicine Shoppe)
• Waale Chiropractic Clinic PLLC
• David H Waale, DC
• Jeanne Waalen, PHYSICIAN ASSISTANT
• Christina Marie Waddle, FNP
• Andrea Renae Wadeson, LAPC

• Clinical Nurse Specialist in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinical Nurse Specialist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.