Individual provider · Type 1 NPI

Susan Rae Wagner, NP-C

Family Nurse Practitioner · Lebanon, VA

NPI number 1346695301 Active

Practice location

142 Highland Dr
Lebanon, VA 24266-4636

Mailing address

103 Peaceful St
Clintwood, VA 24228-5081

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024173497 (VA)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1346695301

Susan Rae Wagner, NP-C's National Provider Identifier is 1346695301, issued on Apr 27, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lebanon, VA. The record was last updated on Apr 27, 2016.