Individual
EMILYN WHITE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
4109 WAKE FOREST RD STE 300, RALEIGH, NC 27609-2508
(919) 250-3478
Mailing address
4109 WAKE FOREST RD STE 300, RALEIGH, NC 27609-2508
(919) 250-3478
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012531
NC
Other
Enumeration date
11/14/2019
Last updated
03/19/2024
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