Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anders K Waalen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336776806

Anders K Waalen is a Student in an Organized Health Care Education/Training Program in Port Jefferson, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 686-2518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1336776806
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESOctober 25, 2024
Certification dateMarch 25, 2020

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