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Individual

CHERYL ANNE WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
7600 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-1295
(928) 772-1610
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 351-6986
(602) 265-8533

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
227591
AZ

Other

Enumeration date
09/23/2013
Last updated
04/17/2020
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