GWENETH WAGNON, N.P.
Nurse Practitioner
Active
Individual
NPI: 1457497976
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 26NN06687400 (NJ) |
Frequently Asked Questions
NPI 1457497976 is the National Provider Identifier for GWENETH WAGNON, N.P., a Nurse Practitioner provider located in Long Branch, NJ. This NPI was enumerated on January 30, 2007.
GWENETH WAGNON, N.P. practices at 300 2ND AVE, Long Branch, NJ 07740.
Quick Facts
- NPI
- 1457497976
- Type
- Individual
- Enumerated
- Jan 30, 2007
- Last Updated
- Oct 14, 2011
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