Traci Wagoner
NPI #1568715712 in Saint Charles, Missouri
Provider Information
- NPI Number
- 1568715712
- Entity Type
- Individual
- Name
- Traci Wagoner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 24, 2012
- Last Updated
- Mar 25, 2025
Practice Location
- Address
- 2424 ZUMBEHL RD
- City
- Saint Charles
- State
- Missouri
- ZIP Code
- 63301-1131
- Phone
- (636) 443-4202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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