Individual
MRS. AMY ELIZABETH WAGAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 474-0625
(808) 471-1855
Mailing address
2176 BANCROFT DR, KAILUA, HI 96734-4812
(808) 474-0625
(808) 471-1855
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R24687
ND
Other
Enumeration date
10/07/2005
Last updated
07/08/2007
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