NICOLE WAGON

Community Health Worker

Active Individual
NPI: 1396198891

Practice Address

#24 GREAT PLAINS RD
Arapahoe, WY 82510

Phone: (307) 856-0470

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1396198891 is the National Provider Identifier for NICOLE WAGON, a Community Health Worker provider located in Arapahoe, WY. This NPI was enumerated on July 20, 2016.
NICOLE WAGON practices at #24 GREAT PLAINS RD, Arapahoe, WY 82510.

Quick Facts

NPI
1396198891
Type
Individual
Enumerated
Jul 20, 2016
Last Updated
Jul 20, 2016

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