Individual
LAURA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1700 COOPER POINT ROAD SW, STE C-4, OLYMPIA, WA 98502
(360) 515-0342
(360) 338-0502
Mailing address
1700 COOPER POINT ROAD SW, STE C-4, OLYMPIA, WA 98502
(360) 515-0342
(360) 338-0502
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60190973
WA
Other
Enumeration date
11/17/2010
Last updated
11/07/2017
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