Individual provider · Type 1 NPI
Kristen Laramie Wagoner, NP
Nurse Practitioner · Wilmington, MA
Practice location
500 Salem St
Wilmington, MA 01887-1200
Fax (978) 657-4169
Mailing address
PO Box 760
Winchester, MA 01890-4260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2270616 (MA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1407104060
Kristen Laramie Wagoner, NP's National Provider Identifier is 1407104060, issued on Aug 29, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilmington, MA. The record was last updated on Jun 10, 2016.