PHYLLIS THORNTON WAGGONER

MECHANICSVILLE, VA
NPI1831542190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024173765)
Enumeration Date2016-07-21
Last Update Date2025-06-24
Business Address
Mrs. PHYLLIS THORNTON WAGGONER NP-C
8015 COLD HARBOR RD
MECHANICSVILLE, VA 23111-1650
Phone number: 800-640-3451
Mailing Address
Mrs. PHYLLIS THORNTON WAGGONER NP-C
PO BOX 1200
PLEASANT GROVE, UT 84062-1200
Phone number: 800-640-3451