Dr KRISTINA N WAGGONER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.
MEMORIAL PHYSICIAN SERVICES
101 E PLUMMER
MPS CHATHAM
CHATHAM
IL
626298047
Tel: 2174833487
| Npi | 1861886715 |
| Pac Id | 2567783525 |
| Professional Enrollment Id | I20150603001573 |
| Last Name | WAGGONER |
| First Name | KRISTINA |
| Middle Name | N |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| Organization Legal Name | MEMORIAL PHYSICIAN SERVICES |
| Group Practice Pac Id | 9032005681 |
| Number Of Group Practice Members | 150 |
| Line 1 Street Address | 101 E PLUMMER |
| Line 2 Street Address | MPS CHATHAM |
| Marker Of Address Line 2 Suppression | |
| City | CHATHAM |
| State | IL |
| Zip Code | 626298047 |
| Phone Number | 2174833487 |
| Hospital Affiliation Ccn 1 | 140148 |
| Hospital Affiliation Lbn 1 | MEMORIAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 141347 |
| Hospital Affiliation Lbn 2 | CARLINVILLE AREA HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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