Individual provider · Type 1 NPI

Brooklynn Wagoner

Student in an Organized Health Care Education/Training Program · West Des Moines, IA

NPI number 1922916253 Active

Practice location

8025 Grand Ave
West Des Moines, IA 50266-5360

Call (515) 271-1569 Map

Mailing address

2817 Macineery Dr Apt 1203
Council Bluffs, IA 51501-8126

Specialties and licenses

TaxonomyCodeLicense
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 1922916253

Brooklynn Wagoner's National Provider Identifier is 1922916253, issued on Aug 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Des Moines, IA. The record was last updated on Aug 28, 2026.