Individual
COLLETTE MUNSTER WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
1305 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3043
(985) 674-2227
Mailing address
325 ORLEANS AVE, COVINGTON, LA 70433-6245
(504) 909-6410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218321
LA
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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