Individual
JENNIFER WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2550 S PARKER RD, SUITE 300, AURORA, CO 80014-1622
(303) 636-2947
Mailing address
2550 S PARKER RD, SUITE 300, AURORA, CO 80014-1622
(303) 636-2947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0191409
CO
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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