Individual
DANIELLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
65 MEMORIAL RD STE 405, WEST HARTFORD, CT 06107-4219
(860) 972-1506
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-5663
(860) 545-2882
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10086
CT
Other
Enumeration date
10/03/2021
Last updated
10/15/2021
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