Individual
KAREN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15 MCCABE DR, STE 100, RENO, NV 89511-5924
(775) 982-5000
(775) 982-2879
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN001994
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13581525
CAQH
—
Enumeration date
07/07/2015
Last updated
03/17/2018
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