NPI 1639261969 · live from the CMS NPI Registry
Nell Ann Wagoner, MD
Obstetrics & Gynecology, Gynecology in Juneau, AK. National Provider Identifier 1639261969, active.
NPI record
| NPI | 1639261969 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecology 207VG0400X |
| Practice location | 3268 Hospital Dr Suite B, Juneau, AK 99801 |
| Practice phone | 907-586-1717 |
| Enumerated | September 28, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecology primary | 207VG0400X | 2531 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.