Individual
ANGELA WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2560 E LEAGUE CITY PKWY, LEAGUE CITY, TX 77573-6459
(281) 783-8162
(713) 439-7995
Mailing address
16107 KENSINGTON DR STE 126, SUGAR LAND, TX 77479-4224
(281) 783-8162
(713) 439-7995
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP125075
TX
363LF0000X
Family Nurse Practitioner
848669
TX
Other
Enumeration date
01/29/2014
Last updated
04/23/2021
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