Individual provider · Type 1 NPI

Maria-Gretchen Fabroa Wagner-Richardson, RN

Addiction (Substance Use Disorder) Registered Nurse · Mount Pleasant, WI

NPI number 1639702228 Active

Practice location

5735 Durand Ave
Mount Pleasant, WI 53406-5011

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Registered Nurse Primary	163WA0400X	251755-30 (WI)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1639702228

Maria-Gretchen Fabroa Wagner-Richardson, RN's National Provider Identifier is 1639702228, issued on Feb 21, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Mount Pleasant, WI. The record was last updated on Feb 21, 2020.