Wagoner, Cristina Suzanne

Wagoner, Cristina Suzanne is an individual health care provider with primary practice located at 1 Med Center Dr , Clarksburg WV 26301-4155. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Medical-Surgical. Nursing Service Providers / Medical-Surgical is her primary health care specialty. Wagoner, Cristina Suzanne can be contacted via phone (304) 623-3461.

Contact Information

Primary practice address
1 Med Center Dr Clarksburg WV 26301-4155
Phone: (304) 623-3461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 60186 West Virginia
Nursing Service Providers / Medical-Surgical 163WM0705X 60186 West Virginia

Profile Details

NPI number 1326447194
LBN Legal business name Wagoner, Cristina Suzanne
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2014
Last updated Aug 18th, 2014 - about 12 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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