Individual provider · Type 1 NPI

Patricia Wagner, DNP, NP-BC

Gerontology Nurse Practitioner · Springfield, MO

NPI number 1770031759 Active

Practice location

1200 E Woodhurst Dr, Q200
Springfield, MO 65804-4261

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X120089 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1770031759

Patricia Wagner, DNP, NP-BC's National Provider Identifier is 1770031759, issued on Sep 19, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Springfield, MO. The record was last updated on Sep 19, 2016.