Individual
REBECCA E WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 BROADWAY, SCOTTSBLUFF, NE 69361-3167
(308) 635-2900
Mailing address
1524 BROADWAY, SCOTTSBLUFF, NE 69361-3167
(308) 635-2900
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
07/09/2026
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