Individual
ALISHIA ANN WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1415 N PENNSYLVANIA AVE, INDEPENDENCE, KS 67301-2222
(620) 331-2400
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-83284-031
KS
Other
Enumeration date
06/17/2024
Last updated
08/27/2025
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