Individual
MRS. BARBARA M WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4111 LEGION DR, HAMBURG, NY 14075-4507
(716) 646-3305
(716) 646-3304
Mailing address
4111 LEGION DR, HAMBURG, NY 14075-4507
(716) 646-3305
(716) 646-3304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
437140-1
NY
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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