Individual
ELIZABETH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8771 WESTPOINTE DR, INDIANAPOLIS, IN 46231-1169
(317) 248-9299
Mailing address
8771 WESTPOINTE DR, INDIANAPOLIS, IN 46231-1169
(317) 248-9299
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
16-012027-1
IN
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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