Julie Wagner

NPI #1033830823 in Peoria, Illinois

Provider Information

NPI Number
1033830823
Entity Type
Individual
Name
Julie Wagner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Sep 8, 2022
Last Updated
Mar 20, 2025

Practice Location

Address
8914 N KNOXVILLE AVE
City
Peoria
ZIP Code
61615-1410
Phone
(309) 691-9110

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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