Individual provider · Type 1 NPI
Carole Eaton Wagner, FNP
Family Nurse Practitioner · Prescott, AZ
NPI number
1821085879
Active
Practice location
500 Hwy 89 North, Northern Azva Healthcare System
Prescott, AZ 86313
Fax (928) 776-6147
Mailing address
PO Box 206
Humboldt, AZ 86329-0206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN036104 (AZ) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Brenda A. Austin, NP-CFamily Nurse Practitioner Prescott, AZ NPI 1013959964
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- Kayla Renee Pokrzywinski, APRN, FNP-CFamily Nurse Practitioner Prescott, AZ NPI 1063029700
- Lisa Stadum, NPFamily Nurse Practitioner Prescott, AZ NPI 1063577161
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- Thomas Judah Gann, N.P.Family Nurse Practitioner Prescott, AZ NPI 1073866406
About NPI 1821085879
Carole Eaton Wagner, FNP's National Provider Identifier is 1821085879, issued on Oct 4, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Prescott, AZ. The record was last updated on Oct 26, 2010.