Ruth Hattie Wagner, CRNP

NPI #1821642687 in Mobile, Alabama

Provider Information

NPI Number: 1821642687
Entity Type: Individual
Name: Ruth Hattie Wagner, CRNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: CRNP
Enumeration Date: Jul 30, 2019
Last Updated: Jul 30, 2019

Practice Location

Address: 3715 DAUPHIN ST STE 4400
City: Mobile
State: Alabama
ZIP Code: 36608-1727
Phone: (251) 607-9797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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