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Individual
REBECCA S WAGGONER
Active
Individual
REBECCA S WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60123376
WA
363L00000X
Nurse Practitioner
Primary
1004878
TX
363LA2100X
Acute Care Nurse Practitioner
AP60542393
WA
Other
Enumeration date
02/23/2015
Last updated
06/17/2025
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