Waggner, Amy R
Waggner, Amy R is an individual health care provider with primary practice located at 1402 Grand Ave , Washington IN 47501-2122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Waggner, Amy R can be contacted via phone (812) 257-0383.Contact Information
Primary practice address
1402 Grand Ave
Washington IN 47501-2122
Phone: (812) 257-0383
Fax: (812) 257-0433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001500 | Indiana |
Profile Details
| NPI number | 1861460537 |
|---|---|
| LBN Legal business name | Waggner, Amy R |
| Credentials | RN MSN FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jan 2nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861460537 | NPPES |
| Indiana | MEDICAID | 200461840 | |
| Indiana | Other | P00152106 | |
| Indiana | Other | 000000390541 | |
| Indiana | Other | CA5604 |
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