HALEY WAGONER NPI 1578125506

NPI Information

NPI: 1578125506
Provider Name: HALEY WAGONER
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: CENTRAL PENINSULA GENERAL HOSPITAL INC

PECOS Registration: Yes

Address:
240 HOSPITAL PL STE 305
SOLDOTNA, AK
ZIP 99669
Phone: (907) 714-4130
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Haley Wagoner is a surgical physician assistant in Soldotna, AK with 5 years of experience. Haley Wagoner NPI is 1578125506. 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:

240 HOSPITAL PL STE 305
SOLDOTNA, AK
ZIP 99669-559
Phone: (907) 714-4130
Fax: (844) 412-3946

The NPI 1578125506 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2019 and was last updated on 2/28/2022.

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	363AS0400X	Physician Assistant	Surgical		ALASKA	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: 11/14/2023

NPI Synchronization or Removal

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