Individual
VALERIE ANN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
45090 BIA HIGHWAY 500, WAUBAY, SD 57273-7800
(507) 828-2666
Mailing address
45090 BIA HIGHWAY 500, WAUBAY, SD 57273-7800
(507) 828-2666
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R-135369-1
MN
363LF0000X
Family Nurse Practitioner
Primary
200471
SD
Other
Enumeration date
02/06/2014
Last updated
03/31/2026
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