Individual
MRS. DEBORAH JEAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8010 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-3039
(256) 489-3192
(256) 489-3196
Mailing address
8010 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-3039
(256) 489-3192
(256) 489-3196
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1-039213
AL
Other
Enumeration date
10/10/2014
Last updated
12/21/2018
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