Individual
MS. KATHLEEN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., M.S.N.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 978-5995
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 978-5995
Taxonomy
Speciality
Code
Description
License number
State
364SN0800X
Neuroscience Clinical Nurse Specialist
Primary
ARNP743532
FL
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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