Individual
MRS. FUHRMA RACHAEL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
664 VETERANS BLVD, BRUNDIDGE, AL 36010-1202
(334) 536-1001
(334) 536-1006
Mailing address
664 VETERANS BLVD, BRUNDIDGE, AL 36010-1202
(334) 536-1001
(334) 536-1006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-120299
AL
Other
Enumeration date
01/09/2014
Last updated
03/26/2014
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