Waggoner, Rebecca S
Waggoner, Rebecca S is an individual health care provider with primary practice located at 703 S Fleishel Ave Ste 4000 , Tyler TX 75701-2015. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Waggoner, Rebecca S can be contacted via phone (903) 606-7000.Contact Information
Primary practice address
703 S Fleishel Ave Ste 4000
Tyler TX 75701-2015
Phone: (903) 606-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN60123376 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP60542393 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1004878 | Texas |
Profile Details
NPI number | 1144612508 |
---|---|
LBN Legal business name | Waggoner, Rebecca S |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2015 |
Last updated | Aug 25th, 2023 - about last year |
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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