MS. Dara Marie Wagner, APN-C

NPI #1063046464 in Canton, Illinois

Provider Information

NPI Number
1063046464
Entity Type
Individual
Name
MS. Dara Marie Wagner, APN-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
APN-C
Enumeration Date
Feb 25, 2020
Last Updated
Oct 20, 2021

Practice Location

Address
180 S MAIN ST
City
Canton
ZIP Code
61520-2608
Phone
(309) 647-0201

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - FamilyFamily

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