MRS. Phyllis Thornton Waggoner, NP-C is a family nurse practitioner in Glen Allen, VA with 8 years of experience. MRS. Phyllis Thornton Waggoner, NP-C NPI is 1831542190. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
11271 NUCKOLS RD
GLEN ALLEN, VA
ZIP 23059-502
Phone: (804) 217-8881
The NPI 1831542190 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/21/2016 and was last updated on 10/6/2016.