Individual
KRISTINA LYNN WAGNER ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
2560 HAUSER ROSS DR STE 425, SYCAMORE, IL 60178-3194
(815) 784-6300
Mailing address
2560 HAUSER ROSS DR STE 425, SYCAMORE, IL 60178-3194
(815) 784-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209027267
IL
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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