Individual provider · Type 1 NPI
Mary Elizabeth Waggoner, PMHNP-BC, APRN
Psychiatric/Mental Health Nurse Practitioner · Aurora, CO
NPI number
1679822530
Active
Practice location
2101 S Blackhawk St Ste 240
Aurora, CO 80014-1475
Fax (720) 262-9101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0990700NP (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679822530
Mary Elizabeth Waggoner, PMHNP-BC, APRN's National Provider Identifier is 1679822530, issued on Sep 6, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Aurora, CO. The record was last updated on Nov 25, 2025.