Individual provider · Type 1 NPI

Kierston Michele Waggoner, BSN, RN, CEN, TCRN, CPEN

Emergency Registered Nurse · Vincennes, IN

NPI number 1780485300 Active

Practice location

520 S 7th St
Vincennes, IN 47591-1038

Mailing address

906 S Prairie St
Robinson, IL 62454-1621

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X28232941A (IN)

Emergency Registered Nurse: Definition to come...

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About NPI 1780485300

Kierston Michele Waggoner, BSN, RN, CEN, TCRN, CPEN's National Provider Identifier is 1780485300, issued on Mar 20, 2025. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Vincennes, IN. The record was last updated on Mar 20, 2025.