Individual
MARY ELIZABETH WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, APRN
Contact information
Practice address
2101 S BLACKHAWK ST STE 240, AURORA, CO 80014-1475
(720) 262-9100
(720) 262-9101
Mailing address
2101 S BLACKHAWK ST STE 240, AURORA, CO 80014-1475
(720) 262-9100
(720) 262-9101
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0990700NP
CO
Other
Enumeration date
09/06/2012
Last updated
11/25/2025
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