Individual
LINDSAY NICOLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5089 PARKE RIDGE CT, SHEBOYGAN, WI 53083-1767
(262) 894-1292
Mailing address
5089 PARKE RIDGE CT, SHEBOYGAN, WI 53083-1767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
176825-030
WI
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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