Heather Waghelstein
Medical Specialty
Professional ID
- NPI: 1396170510
- PECOS ID: 6800114935
- Enrollment ID: I20150513002122
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2013
Hospital Service
- Hospital CCN1: 030071
- Business Name (LBN)1: Fort Defiance Indian Hospital
- Hospital CCN2: 320038
- Business Name (LBN)2: Rehoboth Mckinley Christian Health Care Services
Medical Practices
- Organization Name: Fort Defiance Indian Hospital Board, Incorporation
- Group Practice ID assigned by PECOS: 0941336697
- Number of Group Practice member: 128
Location
- Address1: Corner Of Route N12 And N 7
- Address2:
- City: Fort Defiance
- State: Arizona
- Zip Code: 86504
- Phone Number: (928)729-8256
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):