Individual provider · Type 1 NPI

Courtney Danielle Wagaman

Student in an Organized Health Care Education/Training Program · Tumwater, WA

NPI number 1104553080 Active

Practice location

1992 Ridgeview Loop SW Apt 206
Tumwater, WA 98512-1455

Call (360) 870-3332 Map

Other practice locations

  • 26812 118th Ave. E., Graham, WA 98338 · (844) 623-9675

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1104553080

Courtney Danielle Wagaman's National Provider Identifier is 1104553080, issued on Aug 2, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tumwater, WA. The record was last updated on Aug 2, 2022.