Individual
VERONICA HELGA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP/CNM
Contact information
Practice address
2650 E BROADVIEW AVE, WASILLA, AK 99654-8302
(907) 373-3420
Mailing address
17001 COLLINS AVE, APT 1702, SUNNY ISLES BEACH, FL 33160-3645
(408) 319-0201
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
110376
AK
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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