Individual
ALIYAH WAGGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15301 SPECTRUM DR, ADDISON, TX 75001-4665
(972) 661-2273
Mailing address
1212 SINGLETON BLVD APT 1073, DALLAS, TX 75212-5305
(225) 938-6238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1105759
TX
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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