LYNDA LEE WAGGONER ANP NPI 1396061388

NPI Information

NPI: 1396061388
Provider Name: LYNDA LEE WAGGONER, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 209-2411
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Lynda Lee Waggoner, ANP is an adult health nurse practitioner in Lawrenceville, GA. Lynda Lee Waggoner, ANP NPI is 1396061388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30046-444
Phone: (678) 209-2411
Fax: (678) 212-6341

The NPI 1396061388 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2010 and was last updated on 1/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	RN063518	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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