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Individual

HEATHER JAY WAGAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
100 CORPORATE CENTER DR STE 100, CAMP HILL, PA 17011-1758
(717) 763-1174
(717) 763-8960
Mailing address
100 CORPORATE CENTER DR STE 100, CAMP HILL, PA 17011-1758
(717) 763-1174
(717) 763-8960

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024038
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15298988
CAQH
Enumeration date
08/04/2021
Last updated
09/05/2025
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