Individual
KATHARINE LYLE HOLMES WAGNER
Active
Individual
KATHARINE LYLE HOLMES WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
APN0993047-NP
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
APN.0993047-NP
CO
Other
Enumeration date
05/23/2017
Last updated
05/01/2023
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