Lisa Marie Wagner, APN NP-C

NPI #1346754249 in Basalt, Colorado

Provider Information

NPI Number
1346754249
Entity Type
Individual
Name
Lisa Marie Wagner, APN NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
APN NP-C
Enumeration Date
Nov 30, 2017
Last Updated
May 7, 2025

Practice Location

Address
249 KODIAK DR UNIT 201
City
Basalt
ZIP Code
81621-8140
Phone
(970) 618-8796

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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