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Individual

MARALEE A WAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
603 W BASELINE RD STE 200, MESA, AZ 85210-6051
(480) 461-1088
(480) 461-1657
Mailing address
3260 N HAYDEN RD STE 112, SCOTTSDALE, AZ 85251-6650
(602) 264-9100
(602) 264-9101

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219655
AZ

Other

Enumeration date
01/15/2019
Last updated
12/03/2024
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