Waggoner, Marci Lynn

Waggoner, Marci Lynn is an sole proprietor health care provider with primary practice located at 4212 Park Place Ct , Glen Allen VA 23060-3314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Waggoner, Marci Lynn can be contacted via phone (804) 332-5950.

Contact Information

Primary practice address
4212 Park Place Ct Glen Allen VA 23060-3314
Fax: (804) 728-1086
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024172996 Virginia

Profile Details

NPI number 1164884714
LBN Legal business name Waggoner, Marci Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2016
Last updated Jul 5th, 2022 - about 2 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.

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