Waggoner, Phyllis Thornton
Waggoner, Phyllis Thornton is an individual health care provider with primary practice located at 8015 Cold Harbor Rd , Mechanicsville VA 23111-1650. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Waggoner, Phyllis Thornton can be contacted via phone (800) 640-3451.Contact Information
Primary practice address
8015 Cold Harbor Rd
Mechanicsville VA 23111-1650
Phone: (800) 640-3451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024173765 | Virginia |
Profile Details
| NPI number | 1831542190 |
|---|---|
| LBN Legal business name | Waggoner, Phyllis Thornton |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2016 |
| Last updated | Jun 24th, 2025 - 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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