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

Daylen Wagoner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043097462

Daylen Wagoner is a Student in an Organized Health Care Education/Training Program in Aurora, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

347 S Gladstone Ave
Aurora, IL 60506-4877
Phone: (630) 892-6431
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1043097462
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023
Mailing address1928 Iron Mountain Dr, Festus, MO 63028-3166

Other providers in Aurora