Stephanie L Wagoner, APRN Valid NPI

Individual provider · Family Nurse Practitioner · Evening Shade, AR

NPI

1598350225

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

214600 (AR)

Sex

Female

Sole proprietor

No

Enumerated

2021-03-04

Last updated

2021-03-04