Individual provider · Type 1 NPI
Cristina Suzanne Wagoner, REGISTERED NURSE
Medical-Surgical Registered Nurse · Clarksburg, WV
NPI number
1326447194
Active
Practice location
1 Med Center Dr
Clarksburg, WV 26301-4155
Mailing address
26 Gables Pl
Bridgeport, WV 26330-9246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 60186 (WV) |
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 60186 (WV) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1326447194
Cristina Suzanne Wagoner, REGISTERED NURSE's National Provider Identifier is 1326447194, issued on Aug 18, 2014. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Clarksburg, WV. The record was last updated on Aug 18, 2014.