Individual
JANICE K. WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
500 N 5TH ST, HOT SPRINGS, SD 57747-1480
(605) 745-2000
Mailing address
500 N 5TH ST, HOT SPRINGS, SD 57747-1480
(605) 745-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R020423/ CP000272
SD
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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