Wagoner Primary Care, Llc Valid NPI

Organization · Family Nurse Practitioner · Evening Shade, AR

NPI

1811578701

Type

Organization (Type 2)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

Enumerated

2021-04-21

Last updated

2021-04-21