Individual
MRS. CRYSTAL DAWN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1181 FREEDOM RD, CRANBERRY TOWNSHIP, PA 16066-4913
(724) 742-1888
Mailing address
411 DARRELL DR, PITTSBURGH, PA 15235-4544
(740) 645-9114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024217
PA
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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