HEIDI WAGNER
Nurse Practitioner - Family
Active
Individual
NPI: 1447702147
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 209014217 (IL) |
Frequently Asked Questions
NPI 1447702147 is the National Provider Identifier for HEIDI WAGNER, a Nurse Practitioner - Family provider located in Willowbrook, IL. This NPI was enumerated on October 28, 2016.
HEIDI WAGNER practices at 545 PLAINFIELD RD STE G-1, Willowbrook, IL 60527.
Quick Facts
- NPI
- 1447702147
- Type
- Individual
- Enumerated
- Oct 28, 2016
- Last Updated
- Jan 31, 2024
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