Individual
DR. TRACIE DENIE JOHNSON-WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
7330 N 16TH ST STE C115, PHOENIX, AZ 85020-8209
(646) 941-7645
(929) 596-7897
Mailing address
7330 N 16TH ST STE C115, PHOENIX, AZ 85020-8209
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP11024
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-RXN.0002422-C-NP
CO
Other
Enumeration date
02/27/2018
Last updated
02/23/2026
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