Individual
MRS. KARLEE CRUMPTON WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
5821 FARRINGTON RD, SUITE 101, CHAPEL HILL, NC 27517-9901
(919) 403-6200
(919) 403-6242
Mailing address
5821 FARRINGTON RD, SUITE 101, CHAPEL HILL, NC 27517-9901
(919) 403-6200
(919) 403-6242
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
005001621
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050-01621
LICENSE NUMBER
NC
01
—
0235H
BCBS
NC
01
—
4420282
AETNA
NC
Enumeration date
09/26/2006
Last updated
06/11/2015
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