Individual provider · Type 1 NPI

Marissa Wagner, APRN

Family Nurse Practitioner · Orange City, FL

NPI number 1033882907 Active

Practice location

2884 Wellness Ave Ste 100
Orange City, FL 32763-8427

Mailing address

1071 Calla Lily Cv
Oviedo, FL 32766-0003

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11013967 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1033882907

Marissa Wagner, APRN's National Provider Identifier is 1033882907, issued on Jul 27, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orange City, FL. The record was last updated on Jul 27, 2021.