Individual
MRS. MARIA LYNN WAGNER PIECZONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
905 LAMBERT AVE, FLAGLER BEACH, FL 32136-3039
(304) 812-4553
Mailing address
1329 SW 16TH ST RM 2232, GAINESVILLE, FL 32608-1128
(352) 733-0485
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9361416
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP9361416
FL
Other
Enumeration date
06/06/2016
Last updated
12/29/2020
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