Waggoner, Phyllis Thornton

Waggoner, Phyllis Thornton is an individual health care provider with primary practice located at 11271 Nuckols Rd , Glen Allen VA 23059-5502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Waggoner, Phyllis Thornton can be contacted via phone (804) 217-8881.

Contact Information

Primary practice address
11271 Nuckols Rd Glen Allen VA 23059-5502
Phone: (804) 217-8881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024173765 Virginia

Profile Details

NPI number 1831542190
LBN Legal business name Waggoner, Phyllis Thornton
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2016
Last updated Oct 6th, 2016 - about 9 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.

Request for update

Popular Providers