Individual provider · Type 1 NPI

Daylen Wagoner

Student in an Organized Health Care Education/Training Program · Aurora, IL

NPI number 1043097462 Active

Practice location

347 S Gladstone Ave
Aurora, IL 60506-4877

Call (630) 892-6431 Map

Mailing address

1928 Iron Mountain Dr
Festus, MO 63028-3166

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043097462

Daylen Wagoner's National Provider Identifier is 1043097462, issued on Sep 11, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Aurora, IL. The record was last updated on Sep 11, 2023.