Individual provider · Type 1 NPI
Fidela Waggoner, R.N.
Case Management Registered Nurse · Auburn, CA
NPI number
1376755488
Active
Practice location
12530 Out Of The Way Place
Auburn, CA 95603-2927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 352490 (CA) |
Case Management Registered Nurse: Definition to come...
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About NPI 1376755488
Fidela Waggoner, R.N.'s National Provider Identifier is 1376755488, issued on May 3, 2007. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Auburn, CA. The record was last updated on Jul 8, 2007.