Nurse Practitioner, Pediatrics
GEORGINE WAGONER Arnp
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1578858999 · enumerated 2011-06-14 · record updated 2011-06-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1407 INDEPENDENCE AVE, 5TH FLOOR, WATERLOO, IA, 50703-4300 (319) 291-2413 Fax (319) 291-2659 Google Maps Apple Maps OpenStreetMap
- Practice location 1407 INDEPENDENCE AVE, 5TH FLOOR, WATERLOO, IA, 50703-4300 (319) 291-2413 Fax (319) 291-2659 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License C-041395 IA
In this directory
IA Black Hawk County Waterloo Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
WATERLOO, IA, 507034300
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.