Individual
CHRISTINE MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
Mailing address
15 ENSIGN ST, WEST WYOMING, PA 18644-1503
(570) 436-6187
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN604183
PA
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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