Waggoner, Phyllis Thornton
Waggoner, Phyllis Thornton is an individual health care provider with primary practice located at 11271 Nuckols Rd , Glen Allen VA 23059-5502. 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 (804) 217-8881.Contact Information
Primary practice address
11271 Nuckols Rd
Glen Allen VA 23059-5502
Phone: (804) 217-8881
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 | Oct 6th, 2016 - about 10 years ago |
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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