Individual provider · Type 1 NPI

Julia Wagner, FNP-C

Family Nurse Practitioner · Bridgeton, MO

NPI number 1982258687 Active

Practice location

12266 Depaul Drive, Suite 100
Bridgeton, MO 63044

Mailing address

PO Box 955534
St. Louis, MO 63195-2551

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2019023257 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1982258687

Julia Wagner, FNP-C's National Provider Identifier is 1982258687, issued on Jul 31, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bridgeton, MO. The record was last updated on Oct 27, 2020.