Individual
NICOLE DENISE WEGNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1733 HOWELL RD, HAGERSTOWN, MD 21740-6638
(301) 797-2525
(301) 797-5519
Mailing address
1733 HOWELL RD, HAGERSTOWN, MD 21740-6638
(301) 797-2525
(301) 797-5519
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R122406
MD
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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