Individual
HALEY ELIZABETH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
431 REDDING RD STE 140, LEXINGTON, KY 40517-2551
(859) 226-2500
(859) 280-2595
Mailing address
431 REDDING RD STE 140, LEXINGTON, KY 40517-2551
(859) 226-2500
(859) 280-2595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4008952
KY
Other
Enumeration date
08/30/2023
Last updated
10/31/2023
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