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MS. ANDREA THERESA WAGONER
NPI 1346363751
Technician, Other in Fremont, CA

Active since April 09, 2007
4367 MOWRY AVE, FREMONT, CA 94538(510) 794-6105 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Andrea Theresa Wagoner NPPES

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

MS. ANDREA THERESA WAGONER (NPI 1346363751) is an individual technician, other provider in Fremont, California and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1346363751
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameMS. ANDREA THERESA WAGONER
Location Address4367 MOWRY AVEFremont, CA 94538-1257
Mailing Address4367 Mowry AveFremont, CA 94538-1257
Phone(510) 794-6105
Sole ProprietorYes
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346363751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
4367 MOWRY AVE, Fremont, CA 94538
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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 Andrea Wagoner's NPI number?

The NPI number for Andrea Wagoner is 1346363751. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Andrea Wagoner located?

Andrea Wagoner practices at 4367 Mowry Ave, Fremont, CA 94538. The listed phone number is (510) 794-6105.

What is Andrea Wagoner's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Andrea Wagoner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.