IndividualActive
Mallori Wagoner
NPI 1033003116 · Personal Care Attendant · Council Bluffs, IA
Provider details
- NPI number
- 1033003116
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
2724 Avenue B
Council Bluffs, IA 51501-2106
Phone: (402) 679-2834
Approximate (ZIP-level) locationGet directions
Mailing address
21 Indian Hills Rd
Council Bluffs, IA 51503-4843
Registry dates
- Enumerated
- 2025-06-04
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.