Individual
MS. JUDY LYNN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
360 PEAK ONE DRIVE, SUITE 230, FRISCO, CO 80443
(970) 668-9714
(970) 668-4115
Mailing address
PO BOX 2280, FRISCO, CO 80443-2280
(970) 668-9714
(970) 668-4115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-84730
CO
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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