Individual provider · Type 1 NPI
Kristin Wagoner, RN
Registered Nurse · Modesto, CA
Practice location
2701 Fine Ave
Modesto, CA 95355-9773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 2012009946 (MO) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1750790697
Kristin Wagoner, RN's National Provider Identifier is 1750790697, issued on Aug 5, 2014. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Modesto, CA. The record was last updated on Aug 5, 2014.