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Individual

KIERSTON MICHELE WAGGONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN,RN,CEN,TCRN,CPEN

Contact information

Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3757
Mailing address
906 S PRAIRIE ST, ROBINSON, IL 62454-1621
(618) 554-2894

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28232941A
IN

Other

Enumeration date
03/20/2025
Last updated
03/20/2025
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