MISS Amy Jeannette Waggoner, FNP
NPI #1194794271 in Woonsocket, Rhode Island
Provider Information
- NPI Number
- 1194794271
- Entity Type
- Individual
- Name
- MISS Amy Jeannette Waggoner, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Mar 20, 2017
Practice Location
- Address
- 1 CVS DR
- Address 2
- MAIL CODE 3005
- City
- Woonsocket
- State
- Rhode Island
- ZIP Code
- 02895-6146
- Phone
- (512) 791-6564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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