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Individual

BRIANNE WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2446 RESEARCH PKWY, COLORADO SPRINGS, CO 80920-1087
(719) 623-1050
Mailing address
2446 RESEARCH PKWY, COLORADO SPRINGS, CO 80920-1087
(719) 209-2577

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0995656-NP
CO
363LF0000X
Family Nurse Practitioner
APN.0995656-NP
CO

Other

Enumeration date
07/09/2020
Last updated
06/26/2024
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