Individual
MS. AMBER R WAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2135 N COLLECTIVE LN, WICHITA, KS 67206-3560
(316) 261-3220
(316) 261-3298
Mailing address
2135 N COLLECTIVE LN, WICHITA, KS 67206-3560
(316) 261-3220
(316) 261-3298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-75197
KS
Other
Enumeration date
06/25/2010
Last updated
12/02/2021
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