Individual
MS. MISTI WAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 620-5525
Mailing address
PO BOX 2440, HOT SPRINGS, AR 71914-2440
(501) 620-5525
(501) 321-9828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
225655
AR
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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