KATHLEEN WAGNER, ARNP

Nurse Practitioner - Obstetrics & Gynecology

Active Individual
NPI: 1740397041

Practice Address

1223 GATEWAY DRIVE
Melbourne, FL 32901

Phone: (321) 725-4500

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No AP30000510 (WA)
Nurse Practitioner - Obstetrics & Gynecology 363LX0001X Yes ARNP9333175 (FL)

Frequently Asked Questions

NPI 1740397041 is the National Provider Identifier for KATHLEEN WAGNER, ARNP, a Nurse Practitioner - Obstetrics & Gynecology provider located in Melbourne, FL. This NPI was enumerated on August 23, 2006.
KATHLEEN WAGNER, ARNP practices at 1223 GATEWAY DRIVE, Melbourne, FL 32901.

Quick Facts

NPI
1740397041
Type
Individual
Enumerated
Aug 23, 2006
Last Updated
Sep 7, 2012

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