Provider Demographics
NPI:1881340677
Name:PARKER WAUGH, EBONY CECILIA (DNP, RN, WHNP-BC)
Entity type:Individual
Prefix:DR
First Name:EBONY
Middle Name:CECILIA
Last Name:PARKER WAUGH
Suffix:
Gender:F
Credentials:DNP, RN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9318 BANDERA ST
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2411
Mailing Address - Country:US
Mailing Address - Phone:410-456-0036
Mailing Address - Fax:
Practice Address - Street 1:9318 BANDERA ST
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2411
Practice Address - Country:US
Practice Address - Phone:404-218-3208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR210042363LW0102X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology