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Individual

AMANDA LYNN WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
11111 S 84TH ST, PAPILLION, NE 68046-4122
(402) 995-6600
Mailing address
7109 S 140TH ST, OMAHA, NE 68138-6228
(402) 995-1219

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
76354
NE

Other

Enumeration date
04/24/2026
Last updated
04/24/2026
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