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GEORGINE WAGONER ARNP
NPI 1578858999
Nurse Practitioner - Pediatrics in Waterloo, IA

Active since June 14, 2011
1407 INDEPENDENCE AVE, 5TH FLOOR, WATERLOO, IA 50703(319) 291-2413(319) 291-2659 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Georgine Wagoner Arnp NPPES

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

GEORGINE WAGONER ARNP (NPI 1578858999) is an individual pediatrics provider in Waterloo, Iowa, licensed in Iowa (C-041395) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1578858999
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameGEORGINE WAGONERCredential: ARNP
Location Address1407 INDEPENDENCE AVE, 5TH FLOORWaterloo, IA 50703-4300
Mailing Address1407 Independence Ave, 5th FloorWaterloo, IA 50703-4300 · (319) 291-2413 · Fax (319) 291-2659
Phone(319) 291-2413
Fax(319) 291-2659
Sole ProprietorNo
Enumeration DateJune 14, 2011
✔ NPI 1578858999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IA · C-041395
1407 INDEPENDENCE AVE, Waterloo, IA 50703
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Other Providers at the Same Location NPPES 2

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

RHONDA BOTTKE ARNP
Nurse Practitioner (Pediatrics)
1407 INDEPENDENCE AVE, 5TH FLOOR
WATERLOO, IA 50703
Black Hawk County (319) 291-2413
COUNTY OF BLACK HAWK
Public Health or Welfare
1407 INDEPENDENCE AVE, 5TH FLOOR
WATERLOO, IA 50703
Black Hawk County (319) 291-2413

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 Georgine Wagoner's NPI number?

The NPI number for Georgine Wagoner is 1578858999. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Georgine Wagoner located?

Georgine Wagoner practices at 1407 Independence Ave 5th Floor, Waterloo, IA 50703. The listed phone number is (319) 291-2413.

What is Georgine Wagoner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Georgine Wagoner was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.