Individual provider · Type 1 NPI

Kathleen Mary Wagner, ARNP

Obstetrics & Gynecology Nurse Practitioner · Melbourne, FL

NPI number 1740397041 Active

Practice location

1223 Gateway Drive
Melbourne, FL 32901-2607

Fax (321) 722-1237

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP30000510 (WA)
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XARNP9333175 (FL)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

8 other providers at this address

Other obstetrics & gynecology nurse practitioner providers in Melbourne

See all in Melbourne →

About NPI 1740397041

Kathleen Mary Wagner, ARNP's National Provider Identifier is 1740397041, issued on Aug 23, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Melbourne, FL. The record was last updated on Sep 7, 2012.