Gweneth Wagnon, N.P.
NPI #1457497976 in Long Branch, New Jersey
Provider Information
- NPI Number
- 1457497976
- Entity Type
- Individual
- Name
- Gweneth Wagnon, N.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- N.P.
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Oct 14, 2011
Practice Location
- Address
- 300 2ND AVE
- City
- Long Branch
- State
- New Jersey
- ZIP Code
- 07740-6303
- Phone
- (732) 923-7790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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