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Individual
KATHERINE ANN WAGNER
Active
Individual
KATHERINE ANN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC, NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21313
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21313
CA
363LP2300X
Primary Care Nurse Practitioner
21313
CA
Other
Enumeration date
11/09/2011
Last updated
03/13/2014
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