Individual
TAMERA WAGGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1186 FRANKLIN ST., JOHNSTOWN, PA 15905
(814) 534-9391
(814) 534-9715
Mailing address
404 W FAIRVIEW ST, SOMERSET, PA 15501-1344
(814) 445-4329
(814) 534-9715
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN301942L
PA
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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