Individual
BRIANNA MALEE WAGAMAN
Active
Individual
BRIANNA MALEE WAGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, RN, BSN, CCRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN626472
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
R255554
MD
Other
Enumeration date
10/13/2023
Last updated
12/15/2023
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