Individual
MRS. DEBRA E WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CCRN
Contact information
Practice address
1100 N SAINT FRANCIS ST STE 130, WICHITA, KS 67214-2865
(316) 264-3505
(316) 264-0908
Mailing address
1100 N SAINT FRANCIS ST STE 130, WICHITA, KS 67214-2865
(316) 264-3505
(316) 264-0908
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
44988
KS
Other
Enumeration date
10/06/2006
Last updated
02/07/2018
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