Individual
BRITNEY WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-5151
Mailing address
4561 N LIBERTY RD, ATTICA, IN 47918-7854
(765) 426-4636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28274115C
IN
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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