TINA MARIE WAISANEN FNP-C
NPI 1366100372
Nurse Practitioner - Family in Cartersville, GA
About Tina Marie Waisanen Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA MARIE WAISANEN FNP-C (NPI 1366100372) is an individual family provider in Cartersville, Georgia, licensed in Georgia (RN279110) and active in the NPI registry since December 2021.
NPPES Registry Identity
Specialties & Licenses
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARTERSVILLE, GA 30121
CARTERSVILLE, GA 30121
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tina Waisanen's NPI number?
The NPI number for Tina Waisanen is 1366100372. It was assigned to this individual provider in the NPPES registry on December 7, 2021.
Where is Tina Waisanen located?
Tina Waisanen practices at 125 Main Street Market Pl SE, Cartersville, GA 30121. The listed phone number is (770) 606-5212.
What is Tina Waisanen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Tina Waisanen was last updated on July 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tina Marie Waisanen, FNP-C · NPI 1366100372
Family physician in Cartersville, Georgia. Individual provider, active in the CMS NPPES registry since December 7, 2021.
## Identity
- **NPI:** 1366100372 (Entity type: Individual)
- **Enumerated:** December 7, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN279110 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 125 MAIN STREET MARKET PL SE, Cartersville, GA 30121-3307
- **Phone:** (770) 606-5212
## Record status
- **NPPES last updated:** July 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366100372) · Data from the CMS NPPES public registry.