DEVON WAGNER, APRN
Nurse Practitioner - Primary Care
Active
Individual
NPI: 1407618739
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 60929310 (WA) |
| Nurse Practitioner - Primary Care | 363LP2300X | Yes | AP61598671 (WA) |
Frequently Asked Questions
NPI 1407618739 is the National Provider Identifier for DEVON WAGNER, APRN, a Nurse Practitioner - Primary Care provider located in Issaquah, WA. This NPI was enumerated on January 23, 2024.
DEVON WAGNER, APRN practices at 5708 E. LAKE SAMMANISH PKWY SE, Issaquah, WA 98029.
Quick Facts
- NPI
- 1407618739
- Type
- Individual
- Enumerated
- Jan 23, 2024
- Last Updated
- Aug 23, 2024
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