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Ms. Fidela Waggoner, RN
Case Management Registered Nurse in Auburn, California
NPI 1376755488

Fidela Waggoner is a Case Management Registered Nurse based in Auburn, CA and is specialized in Case Management. Fidela Waggoner practices in Auburn, CA and has the professional credentials of RN. The NPI Number for Fidela Waggoner is 1376755488 and holds a License No. 352490 (California).

The current practice location address for Fidela Waggoner is 12530 Out Of The Way Place, Auburn, CA and can be reached out via phone at 530-305-8048.

Location: 12530 Out Of The Way Place, Auburn, CA, 95603-2927
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Provider Profile Details
NPI Number
1376755488
Provider Name
Fidela Waggoner
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
12530 Out Of The Way Place, Auburn, CA, 95603-2927
Phone Number
530-305-8048
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
352490 01 CA REGISTERED NURSE
RVN003000 01 CA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
12530 Out Of The Way Place
City
State
Zip
95603-2927
Phone Number
530-305-8048
Fax Number
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Provider Business Mailing Address Details
Address
12530 Out Of The Way Place
City
State
Zip
95603-2927
Phone Number
530-305-8048
Fax Number
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
License No.
352490 (California)
Definition
Definition to come...
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