Individual
DENISE JACQUELINE WAGSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2070 MCKELVEY RD, MARYLAND HEIGHTS, MO 63043-2308
(314) 434-1900
(314) 434-1902
Mailing address
51 DESTIN CT, SAINT CHARLES, MO 63303-7314
(314) 434-1900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2019031812
MO
363LF0000X
Family Nurse Practitioner
Primary
219031812
MO
Other
Enumeration date
08/26/2019
Last updated
08/22/2022
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