Individual
KASSONDRA WAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61075632
WA
363L00000X
Nurse Practitioner
Primary
AP61340381
WA
Other
Enumeration date
07/21/2022
Last updated
04/24/2023
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