person
Melissa Dalton Wagner, APRN
Family Nurse Practitioner in Louisa, Kentucky
NPI 1174992382

Melissa Dalton Wagner is a Family Nurse Practitioner based in Louisa, KY and is specialized in Family. Melissa Dalton Wagner practices in Louisa, KY and has the professional credentials of APRN. The NPI Number for Melissa Dalton Wagner is 1174992382 and holds a License No. 3009798 (Kentucky).

The current practice location address for Melissa Dalton Wagner is 125 S Main Cross St, Louisa, KY and can be reached out via phone at 606-638-0938. You can also correspond with Melissa Dalton Wagner through the mailing address at 125 S MAIN CROSS ST, LOUISA, KY - 41230-1065 (mailing address contact number: 606-638-0938).

Location: 125 S Main Cross St, Louisa, KY, 41230-1065
person
Provider Profile Details
NPI Number
1174992382
Provider Name
Melissa Dalton Wagner
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
125 S Main Cross St, Louisa, KY, 41230-1065
Phone Number
606-638-0938
Fax Number
Provider Enumeration Date
09/17/2015
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3009798 01 KY APRN LICENSE NUMBER
7100385910 05 KY
F0915844 01 AANP CERTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
125 S Main Cross St
City
State
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
person
Provider Business Mailing Address Details
Address
125 S Main Cross St
City
State
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3009798 (Kentucky)
Definition
Definition to come...
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