Mary Wagenhoffer, APRN Valid NPI
Individual provider · Nurse Practitioner · Eatontown, NJ
- NPI
- 1326170754
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- 26NC07020000 (NJ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-03-12
- Last updated
- 2007-07-08
Practice location
615 Hope Rd, Bldg 5
Eatontown, NJ 07724
(732) 571-1000