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Individual

RACHAEL WAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2940 IMMOKALEE RD STE 2, NAPLES, FL 34110-1409
(407) 721-1220
Mailing address
2940 IMMOKALEE RD STE 2, NAPLES, FL 34110-1409

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9424428
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11043221
FL

Other

Enumeration date
01/26/2024
Last updated
10/31/2025
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