Individual
BRIANNA MALEE WAGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, RN, BSN, CCRN
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-8667
Mailing address
2770 PLEASANT HILL RD, HANOVER, PA 17331-8443
(717) 451-6118
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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