Individual provider · Type 1 NPI

Amber Leia Waggoner, NP

Family Nurse Practitioner · Portland, TX

NPI number 1083483713 Active

Practice location

2413 Memorial Pkwy
Portland, TX 78374-3209

Fax (361) 758-2137

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1145675 (TX)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1083483713

Amber Leia Waggoner, NP's National Provider Identifier is 1083483713, issued on Dec 21, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, TX. The record was last updated on Dec 16, 2025.