Individual
GLAUCIA MARLI WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1701 W CHARLESTON BLVD STE 300, LAS VEGAS, NV 89102-2313
(702) 251-8000
(702) 471-0120
Mailing address
1851 QUARLEY PL, HENDERSON, NV 89014-3875
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP 3323462
FL
Other
Enumeration date
02/21/2013
Last updated
04/07/2022
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