Heather Waghelstein AGACNP-BC

NPI 1396170510 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1396170510
Gender Female
Enumeration Date 09/06/2013
Last Updated 09/16/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE AZ, 86504, US
Phone (928) 729-8000
Fax
Business Location
PO BOX 589
FORT DEFIANCE AZ, 86504-8649, US
Phone (928) 729-8000
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State New York
License Number 430756
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According to our database, Heather Waghelstein AGACNP-BC NPI is 1396170510, taxonomy code is 363LA2100X and license number is 430756, license state is located at New York. Heather Waghelstein AGACNP-BC physically located at Corner Of Route N12 And N7, Fort Defiance AZ, 86504. NPI Number Heather Waghelstein AGACNP-BC has the Individual type.

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1396170510 NPI number is provided on an as is basis without warranty of any kind. 1396170510 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Waghelstein AGACNP-BC are for informational purposes only.