COURTNEY DANIELLE WAGAMAN
NPI 1104553080
Student in an Organized Health Care Education/Training Program in Tumwater, WA

Active since August 02, 2022
1992 RIDGEVIEW LOOP SW APT 206, TUMWATER, WA 98512(360) 870-3332 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Courtney Danielle Wagaman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY DANIELLE WAGAMAN (NPI 1104553080) is an individual student in an organized health care education/training program in Tumwater, Washington and active in the NPI registry since August 2022. She maintains a secondary practice location in Graham.

NPPES Registry Identity

NPI1104553080
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCOURTNEY DANIELLE WAGAMAN
Location Address1992 RIDGEVIEW LOOP SW APT 206Tumwater, WA 98512-1455
Mailing Address1992 Ridgeview Loop Sw Apt 206Tumwater, WA 98512-1455 · (360) 870-3332
Sole ProprietorNo
Enumeration DateAugust 2, 2022
NPPES CertifiedJuly 22, 2022
NPI 1104553080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1992 RIDGEVIEW LOOP SW APT 206, Tumwater, WA 98512

Secondary Practice Location 1

Location 126812 118th Ave. E.Graham, WA 98338 · Phone (844) 623-9675

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1992 RIDGEVIEW LOOP SW APT 206
TUMWATER, WA 98512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Wagaman's NPI number?

The NPI number for Courtney Wagaman is 1104553080. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Courtney Wagaman located?

Courtney Wagaman practices at 1992 Ridgeview Loop SW Apt 206, Tumwater, WA 98512. The listed phone number is (360) 870-3332.

What is Courtney Wagaman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Courtney Wagaman was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.