Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Danielle Wagaman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104553080

Courtney Danielle Wagaman is a Student in an Organized Health Care Education/Training Program in Tumwater, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2022

Practice location Address checks out

1992 Ridgeview Loop SW Apt 206
Tumwater, WA 98512-1455
Phone: (360) 870-3332
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26812 118th Ave. E., Graham, WA 98338 — (844) 623-9675

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (WA)

Record details

NPI number1104553080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESAugust 2, 2022
Certification dateJuly 22, 2022

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