Shannon M Wagenman, FNP-BC

NPI #1013347665 in Hardin, Montana

Provider Information

NPI Number
1013347665
Entity Type
Individual
Name
Shannon M Wagenman, FNP-BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-BC
Enumeration Date
Nov 19, 2013
Last Updated
Dec 3, 2015

Practice Location

Address
17 N MILES AVE
City
Hardin
State
Montana
ZIP Code
59034-2323
Phone
(406) 665-2310

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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