person
Johanne Mae Waggy, NP
Gerontology Nurse Practitioner in Fairfax, Virginia
NPI 1366001018

Johanne Mae Waggy is a Gerontology Nurse Practitioner based in Manassas, VA and is specialized in Gerontology. Johanne Mae Waggy practices in Fairfax, VA and has the professional credentials of NP. The NPI Number for Johanne Mae Waggy is 1366001018 and holds a License No. 0024177230 (Virginia).

The current practice location address for Johanne Mae Waggy is 3251 Old Lee Hwy Ste 200, Fairfax, VA and can be reached out via phone at 877-868-4827. You can also correspond with Johanne Mae Waggy through the mailing address at 9554 SUNNYSLOPE DR, MANASSAS, VA - 20112-2735 (mailing address contact number: 703-475-9591).

Location: 3251 Old Lee Hwy Ste 200, Fairfax, VA, 20112-2735
person
Provider Profile Details
NPI Number
1366001018
Provider Name
Johanne Mae Waggy
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3251 Old Lee Hwy Ste 200, Fairfax, VA, 20112-2735
Phone Number
877-868-4827
Fax Number
Provider Enumeration Date
06/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3251 Old Lee Hwy Ste 200
City
State
Zip
22030-1504
Phone Number
877-868-4827
Fax Number
person
Provider Business Mailing Address Details
Address
3251 Old Lee Hwy Ste 200
City
State
Zip
22030-1504
Phone Number
877-868-4827
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
0024177230 (Virginia)
Definition
Definition to come...
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