Teresa Moore Wagner, RN, CDE
NPI #1063572717 in Buckeye, West Virginia
Provider Information
- NPI Number
- 1063572717
- Entity Type
- Individual
- Name
- Teresa Moore Wagner, RN, CDE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- RN, CDE
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Sep 23, 2015
Practice Location
- Address
- 150 DUNCAN ROAD
- City
- Buckeye
- State
- West Virginia
- ZIP Code
- 24924-9037
- Phone
- (304) 799-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Diabetes Educator — Diabetes Educator |
| Licensed Practical Nurse |
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