Waggoner, Amanda Mitchell

Waggoner, Amanda Mitchell is an individual health care provider with primary practice located at 207 Bulifants Blvd Ste C , Williamsburg VA 23188-5732. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Waggoner, Amanda Mitchell can be contacted via phone (757) 622-6315.

Contact Information

Primary practice address
207 Bulifants Blvd Ste C Williamsburg VA 23188-5732
Phone: (757) 622-6315
Fax: (757) 622-7022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002368 Virginia

Profile Details

NPI number 1477634582
LBN Legal business name Waggoner, Amanda Mitchell
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jun 24th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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