Individual
MRS. CAROLYN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1770 E LAKE SHORE DR, SUITE 207, DECATUR, IL 62521-3832
(217) 429-9700
(217) 429-9702
Mailing address
1770 E LAKE SHORE DR, SUITE 207, DECATUR, IL 62521-3832
(217) 429-9700
(217) 429-9702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-001389
IL
Other
Enumeration date
03/01/2006
Last updated
03/10/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us