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

Mr. Rex Dwayne Waggoner, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1790769164

Mr. Rex Dwayne Waggoner, CRNA is a Certified Registered Nurse Anesthetist in Springdale, Arkansas. Licensed in Arkansas. Registered with an NPI since 2005.

Licensed in
AR
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

609 W Maple Ave
Springdale, AR 72764-5335
Phone: (479) 757-5711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 26949 (AR)

Record details

NPI number1790769164
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESJuly 9, 2007
Mailing address1307 Overo Cir, Springdale, AR 72762-2129

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