Individual
LAUREN ASHLEY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(800) 836-7536
Mailing address
29 GATEHOUSE LN, DOYLESTOWN, PA 18901-2265
(215) 620-5681
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
RN673186
PA
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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