Individual
MRS. BETH ANN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2608 KEISER BLVD, WYOMISSING, PA 19610-3333
(610) 685-5864
(610) 929-1528
Mailing address
2608 KEISER BLVD, WYOMISSING, PA 19610-3333
(610) 685-5864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023015
PA
Other
Enumeration date
09/08/2020
Last updated
10/18/2022
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