Individual
VIRGINIA JOY WEGENAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN RNC CNOR CRNFA
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 317-3950
Mailing address
8021 52ND AVE W, MUKILTEO, WA 98275-2366
(425) 238-3495
(425) 355-9855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0065887
WA
163WR0006X
Registered Nurse First Assistant
Primary
RN00065887
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9611104
—
WA
01
—
R00078
REGENENCE
—
Enumeration date
11/23/2005
Last updated
07/21/2022
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