Stormi Breann Waddell, RN, BSN is a
Registered Nurse based in Diana, Texas. Stormi Breann Waddell is licensed to practice in Texas (license number 981816) and her current practice location is
12304 Blackman Rd, Diana, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 305-2490.
NPI number for Stormi Breann Waddell is 1376175653 and her current mailing address is 755 S Beckham Ave, Tyler, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376175653.
Provider's Profile
| Full Name | Stormi Breann Waddell |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 12304 Blackman Rd, Diana, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376175653
- Provider Enumeration Date: 02/05/2020
- Last Update Date: 02/05/2020
Medical Identifiers
Medical identifiers for Stormi Breann Waddell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376175653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 981816 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stormi Breann Waddell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stormi Breann Waddell, RN, BSN
755 S Beckham Ave,
Tyler, TX 75701-1903
Ph: () - | Stormi Breann Waddell, RN, BSN
12304 Blackman Rd,
Diana, TX 75640-3421
Ph: (903) 305-2490 |
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