Individual provider · Type 1 NPI

Blair Wagoner

Psychiatric/Mental Health Nurse Practitioner · Richmond, IN

NPI number 1366220907 Active

Practice location

501 1/2 S 7th St., Rm 1
Richmond, IN 47374

Call (765) 935-5390 Map

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X71014313A (IN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

Other psychiatric/mental health nurse practitioner providers in Richmond

See all in Richmond →

About NPI 1366220907

Blair Wagoner's National Provider Identifier is 1366220907, issued on Sep 15, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Richmond, IN. The record was last updated on Sep 15, 2023.