DERRICK WAGNER, FNP-C
Nurse Practitioner - Family
Active
Individual
NPI: 1952685125
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | No | AP120984 (TX) |
| Nurse Practitioner - Family | 363LF0000X | Yes | AP120984 (TX) |
Frequently Asked Questions
NPI 1952685125 is the National Provider Identifier for DERRICK WAGNER, FNP-C, a Nurse Practitioner - Family provider located in Victoria, TX. This NPI was enumerated on October 5, 2011.
DERRICK WAGNER, FNP-C practices at 3002 SAM HOUSTON DR, Victoria, TX 77904.
Quick Facts
- NPI
- 1952685125
- Type
- Individual
- Enumerated
- Oct 5, 2011
- Last Updated
- Sep 25, 2024
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