Individual
STEPHANIE MICHELLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2309 S TUCKER TER, PITTSBURG, KS 66762-6645
(620) 291-1101
(877) 490-6696
Mailing address
2309 S TUCKER TER, PITTSBURG, KS 66762-6645
(620) 291-1101
(877) 490-6696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-75171-071
KS
Other
Enumeration date
08/16/2010
Last updated
02/01/2024
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