MISS Katherine Noelle Wagner, RNC, MSN, NNP
NPI #1639134018 in Fort Worth, Texas
Provider Information
- NPI Number
- 1639134018
- Entity Type
- Individual
- Name
- MISS Katherine Noelle Wagner, RNC, MSN, NNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Neonatal
- Credential
- RNC, MSN, NNP
- Enumeration Date
- Apr 19, 2006
- Last Updated
- Sep 10, 2007
Practice Location
- Address
- 1301 PENNSYLVANIA AVE
- Address 2
- NEONATOLOGY OFFICE
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-2122
- Phone
- (817) 250-2892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Neonatal — Neonatal |
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| Megan Mineur Cousin, NNP | |
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