Individual
MRS. LINDSEY KAYTE WAGENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
14181 BUSINESS CENTER DR NW, ELK RIVER, MN 55330-4654
(763) 236-0500
Mailing address
14181 BUSINESS CENTER DR NW, ELK RIVER, MN 55330-4654
(763) 236-0500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
6611
MN
Other
Enumeration date
08/26/2019
Last updated
06/15/2022
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