Janice Louise Waldstein, DN, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4403-33 Issued in WI

Practice address

719 N 3Rd Ave
Wausau, WI 54401-2965

Phone

(715) 675-9858

Fax

(715) 675-5475

NPI assigned

Aug 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1760474803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N 3RD AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012965",
            "telephone_number": "715-675-9858",
            "fax_number": "715-675-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N 3RD AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012965",
            "telephone_number": "715-675-9858",
            "fax_number": "715-675-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDSTEIN",
        "first_name": "JANICE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "DN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "4403-33",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2636122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538152491",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308257100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Sydney Wagner, RN
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2127)
• Wal-Mart Stores East, LP (Vision Center 30-2127)
• Thomas C Wald, MD
• Sarah Walder, APNP
• Casey Terrence Waldvogel, APNP
• Laura A Waldvogel, MSE, LPC
• Monica Waldvogel
• Melissa Walenton, DC
• Walgreen Co (Walgreens #07009)

• Adult Health Nurse Practitioner in Wausau, WI
• Providers in Wausau, WI by specialty
• Adult Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.