Individual provider · Type 1 NPI

Dara Marie Wagner, APN-C

Family Nurse Practitioner · Canton, IL

NPI number 1063046464 Active

Practice location

180 S Main St
Canton, IL 61520-2608

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209020976 (IL)
Family Nurse Practitioner Primary 363LF0000X209020976 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1063046464

Dara Marie Wagner, APN-C's National Provider Identifier is 1063046464, issued on Feb 25, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canton, IL. The record was last updated on Oct 20, 2021.