Individual
HEATHER M WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1830 W HIGH ST, PIQUA, OH 45356-9399
(833) 510-4357
(866) 460-2997
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.439790
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/05/2021
Last updated
04/17/2024
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