Individual
WHITNEY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-5230
Mailing address
403 LOIS WAY, CARMEL, IN 46032-9784
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
71012303A
IN
Other
Enumeration date
02/08/2022
Last updated
03/08/2022
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