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

Shelley Waggoner

Individual provider Specialist · NPI 1417299447

Shelley Waggoner is a Specialist in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

6333 E Skelly Dr
Tulsa, OK 74135-6106
Phone: (918) 633-2442
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Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1417299447
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 16, 2013
Last updated in NPPESMarch 16, 2013
Mailing address6727 S 73rd East Ave, Tulsa, OK 74133-1832

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