NPI
Georgine Wagoner
NPI 1578858999
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- Arnp
- Type
- Individual
- Enumeration date
- 2011-06-14
- Last updated
- 2011-06-14
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Specialties
Licenses
- License IA
- C-041395
Location
- Practice location
- 1407 Independence Ave, 5th Floor
- City
- Waterloo IA
- Postal code
- 50703-4300
- Phone
- (319) 291-2413
- Fax
- (319) 291-2659
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Pediatrics Nurse Practitioners in Waterloo, IA. 6 with this primary taxonomy in the public file.
Other NPIs in Waterloo, IA. 1,955 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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