Individual
DENISE A WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1210 N 1000 W, LINTON, IN 47441-5013
(812) 699-4153
Mailing address
1210 N 1000 W, LINTON, IN 47441-5013
(812) 699-4153
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002940A
IN
Other
Enumeration date
06/02/2009
Last updated
02/12/2016
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