JACQUELINE WAGNER, ARNP

Family Medicine

Active Individual
NPI: 1447598362

Practice Address

1713 E SHERMAN AVE
Coeur D Alene, ID 83814

Phone: (208) 966-4087

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes NP1283A (ID)

Frequently Asked Questions

NPI 1447598362 is the National Provider Identifier for JACQUELINE WAGNER, ARNP, a Family Medicine provider located in Coeur D Alene, ID. This NPI was enumerated on January 28, 2013.
JACQUELINE WAGNER, ARNP practices at 1713 E SHERMAN AVE, Coeur D Alene, ID 83814.

Quick Facts

NPI
1447598362
Type
Individual
Enumerated
Jan 28, 2013
Last Updated
Aug 17, 2016

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