Individual provider · Type 1 NPI

Annabelle Rose Wagar

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

NPI number 1750130811 Active

Practice location

1401 Madison St Ste 100
Seattle, WA 98104-1316

Mailing address

5251 12th Ave NE
Seattle, WA 98105-3549

Other practice locations

  • 103 W Main St, Everson, WA 98247-8250 · (360) 788-4228

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1750130811

Annabelle Rose Wagar's National Provider Identifier is 1750130811, issued on May 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Jul 14, 2025.