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Individual
MS. RACHEL L WAGNER
Active
Individual
MS. RACHEL L WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000156341
TN
163W00000X
Registered Nurse
RN00128413
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
ANP0000012092
TN
363LA2200X
Adult Health Nurse Practitioner
AP30005960
WA
Other
Enumeration date
07/14/2011
Last updated
07/25/2025
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