MR. RYAN SIMENE WAGGONER
NPI 1699602458
Student in an Organized Health Care Education/Training Program in Tucson, AZ

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 06, 2026

1501 N CAMPBELL AVE, TUCSON, AZ 85724(520) 626-7878 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Ryan Simene Waggoner NPPES

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

MR. RYAN SIMENE WAGGONER (NPI 1699602458) is an individual student in an organized health care education/training program in Tucson, Arizona and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1699602458

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. RYAN SIMENE WAGGONER

Location Address1501 N CAMPBELL AVETucson, AZ 85724-0001

Mailing Address5612 S 55th LnLaveen, AZ 85339-1524 · (602) 814-2317

Phone(520) 626-7878

Sole ProprietorNo

Enumeration DateMay 6, 2026

NPPES CertifiedMay 6, 2026

✔ NPI 1699602458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

1501 N CAMPBELL AVE, Tucson, AZ 85724

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