Individual
MS. PHYLLIS WAGAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 399-8020
(303) 393-5054
Mailing address
3881 S FRASER ST, AURORA, CO 80014-4095
(720) 886-0500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
94852
CO
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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