Julie Ann Waggoner is a Pediatrics in Clive, Iowa. Julie Ann Waggoner practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Julie Ann Waggoner is 1447225289. The last update date is 2016-12-23.
Julie Ann Waggoner's current location address is 2555 Berkshire Pkwy, Clive, Iowa. You can contact this provider via phone number 5159870051 and fax number 5159870054. The mailing address for Julie Ann Waggoner is 2555 Berkshire Pkwy, Clive, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie Ann Waggoner |
|---|---|
| Address | 2555 Berkshire Pkwy, Clive, Iowa |
| Phone Number | 5159870051 |
| Fax Number | 5159870054 |
| Sole Proprietor | N |
| Credentials | CPNP,ARNP |
NPI Number Detail
| NPI Number | 1447225289 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2016-12-23 |
Provider Mailing Address Detail
| Address | 2555 Berkshire Pkwy |
|---|---|
| City | Clive |
| State | Iowa (IA) |
| Post Code | 503254646 |
| Phone Number | 5159870051 |
| Fax Number | 5159870054 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | C-078227 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 478958 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Julie Ann Waggoner by the Centers for Medicare & Medicaid Services (CMS)?
The Julie Ann Waggoner has been assigned the NPI (National Provider Identifier) 1447225289. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Julie Ann Waggoner's physical address?
The Julie Ann Waggoner is physically located at 2555 Berkshire Pkwy, in the city of Clive, IA, with the postal code 503254646.
What is the area of specialization for Julie Ann Waggoner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Julie Ann Waggoner is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.
On what date did the Julie Ann Waggoner receive the assignment of its 1447225289 from the Centers for Medicare & Medicaid Services?
The Julie Ann Waggoner was issued its 1447225289 by the Centers for Medicare & Medicaid Services on 2006-02-22.
When was the information pertaining to Julie Ann Waggoner most recently updated or revised?
The details related to Julie Ann Waggoner, including its address, specialty, and other relevant information, were last updated or revised on 2016-12-23.