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Amanda Michelle Waite

Registered Nurse

Nursing Service Providers

5109b W Enterprise St, North Charleston, SC 29405-4066

PECOS Enrollment

This provider is enrolled in PECOS as AMANDA WAITE.

Based on the most recent information from CMS, provider Amanda Michelle Waite is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:07 PM.

Profile Details

Provider ID
1235549312
Provider Type
Individual
Full Name
Waite, Amanda Michelle
Credential
RN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/29/2014
Last Updated
10/26/2023

Contact Information

Practice Location

5109b W Enterprise St, North Charleston, SC 29405-4066

(843) 529-4990

(843) 529-4991

Mailing Location

5109b W Enterprise St, North Charleston, SC 29405-4066

(843) 746-1300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163WS0200X Primary	Description Registered Nurse Nursing Service Providers	License 19896 South Carolina
Code 363LA2100X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R210436 Maryland
Code 363LA2100X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 19896 South Carolina

Amanda Michelle Waite

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Wilcox, Carrie Anne

Rizzi-Mora, Sara

Mixter, Ann R

Krueger, Jennifer M

Seabrook, Theresa C

Cottone, Christy

Bumgarner, Elizabeth Heinz

Hamer, Angella

Davis, Jacqueline

Lerch, Kathryn