Individual provider · Type 1 NPI

Michele Wagoner, CRNP

Family Nurse Practitioner · Cumberland, MD

NPI number 1407973894 Active

Practice location

1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331

Fax (240) 964-9310

Mailing address

PO Box 1671
Cumberland, MD 21501-1671

Other practice locations

  • 23789 Garrett Hwy, Mc Henry, MD 21541-1338 · (240) 488-4139
  • 10701 New Georges Creek Rd SW, Frostburg, MD 21532-1457 · (301) 689-3229

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X65656 (WV)
Family Nurse Practitioner Primary 363LF0000XR144825 (MD)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

Other family nurse practitioner providers in Cumberland

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About NPI 1407973894

Michele Wagoner, CRNP's National Provider Identifier is 1407973894, issued on Mar 23, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cumberland, MD. The record was last updated on Jul 27, 2020.