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NPI Profile for JULIE A WAGGONER in CLIVE, IA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI Number | 1447225289 |
|
| Status | Active | |
| Credentials | CPNP,ARNP | |
| Entity | Individual | |
| Enumeration date | 02/22/2006 | |
| Last updated | 12/23/2016 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JULIE A WAGGONER
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JULIE A WAGGONER, CPNP,ARNP