Individual
MRS. BETHANY RUTH WAGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC
Contact information
Practice address
1007 WALKER AVENUE, GREENSBORO, NC 27412
(919) 749-1632
Mailing address
5306 NC HIGHWAY 55 STE 105, DURHAM, NC 27713-7812
(877) 279-5960
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
2025006727
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
2025006727
NC
Other
Enumeration date
06/18/2024
Last updated
10/16/2025
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