Individual
GAIL T. WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 346-5000
Mailing address
N8311 BACHELORS AVE, WILLARD, WI 54493-8774
(262) 844-6369
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1741
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1741
APNP WI STATE LIC
WI
01
—
74729
RN WI STATE LIC
WI
Enumeration date
11/01/2006
Last updated
09/21/2015
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