Individual
KERRI DONNA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99201-2307
(509) 474-3131
Mailing address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN00127041
WA
367500000X
Certified Registered Nurse Anesthetist
327402
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60097099
WA
Other
Enumeration date
05/29/2009
Last updated
11/20/2025
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