Individual
JOY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 S GRANITE ST, PRESCOTT, AZ 86303-4253
(928) 717-3241
(928) 717-3298
Mailing address
300 S GRANITE ST, PRESCOTT, AZ 86303-4253
(928) 717-3241
(928) 717-3298
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN177492
AZ
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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