Individual
LISA MARIA WRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2475 E NINE MILE RD STE H, PENSACOLA, FL 32514-7796
(850) 712-9145
Mailing address
3359 GLADEWOOD LN STE H, PACE, FL 32571-9563
(850) 712-9145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9250270
FL
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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