Individual
MARCI LYNN WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4212 PARK PLACE CT, GLEN ALLEN, VA 23060-3314
(804) 332-5950
(804) 728-1086
Mailing address
4212 PARK PLACE CT, GLEN ALLEN, VA 23060-3314
(804) 332-5950
(804) 728-1086
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024172996
VA
Other
Enumeration date
03/23/2016
Last updated
07/05/2022
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