Waggoner, Fidela
Waggoner, Fidela is an sole proprietor health care provider with primary practice located at 12530 Out Of The Way Place , Auburn CA 95603-2927. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Waggoner, Fidela can be contacted via phone (530) 305-8048.Contact Information
Primary practice address
12530 Out Of The Way Place
Auburn CA 95603-2927
Phone: (530) 305-8048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 352490 | California |
Profile Details
| NPI number | 1376755488 |
|---|---|
| LBN Legal business name | Waggoner, Fidela |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1376755488 | NPPES |
| California | Other | 352490 | REGISTERED NURSE |
| California | Other | RVN003000 | REGISTERED NURSE |
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