Andenum Waquong, DNP, PHN, FNP-C

NPI 1346083219 · on the registry since 2024

Practice

Address: 2730 County Road E E
White Bear Lake, MN 55110
Phone: (651) 777-6816
Clinicians at this address: 12

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Also registered as: Registered Nurse
Registered Nurse
Registered Nurse
Family Nurse Practitioner
Family Nurse Practitioner
Licence states on file: MN, GA, CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota