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

Dr. Andenum Amos Waquong, DNP, PHN, FNP-C

Individual provider Registered Nurse · NPI 1346083219

Dr. Andenum Amos Waquong, DNP, PHN, FNP-C is a Registered Nurse in White Bear Lake, Minnesota. Licensed in California, Georgia and Minnesota. Registered with an NPI since 2024.

Licensed in
CA, GA, MN
In the registry since
2024
Specialties on file
6
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

2730 County Road E E
White Bear Lake, MN 55110-4963
Phone: (651) 777-6816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11769 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 2310523 (MN)
Registered Nurse Taxonomy 163W00000X · Licence RN262014 (GA)
Registered Nurse Taxonomy 163W00000X · Licence 95283925 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN262014 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11769 (MN)

Record details

NPI number1346083219
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , PHN , FNP-C
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

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