Kathleen Mary Wagner, ARNP

NPI #1740397041 in Melbourne, Florida

Provider Information

NPI Number
1740397041
Entity Type
Individual
Name
Kathleen Mary Wagner, ARNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Obstetrics & Gynecology
Credential
ARNP
Enumeration Date
Aug 23, 2006
Last Updated
Sep 7, 2012

Practice Location

Address
1223 GATEWAY DRIVE
State
Florida
ZIP Code
32901-2607
Phone
(321) 725-4500

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - Obstetrics & GynecologyObstetrics & Gynecology

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