person
Mary G Wagoner, ARNP
Pediatric Nurse Practitioner in Lakeland, Florida
NPI 1215227426

Mary G Wagoner is a Pediatric Nurse Practitioner based in Lakeland, FL and is specialized in Pediatrics. Mary G Wagoner practices in Lakeland, FL and has the professional credentials of ARNP. The NPI Number for Mary G Wagoner is 1215227426 and holds a License No. ARNP9232495 (Florida).

The current practice location address for Mary G Wagoner is 5950 S Florida Ave, Lakeland, FL and can be reached out via phone at 407-438-3557 and via fax at 407-438-3558.

Location: 5950 S Florida Ave, Lakeland, FL, 33813-2532
person
Provider Profile Details
NPI Number
1215227426
Provider Name
Mary G Wagoner
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
5950 S Florida Ave, Lakeland, FL, 33813-2532
Phone Number
407-438-3557
Fax Number
407-438-3558
Provider Enumeration Date
04/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5950 S Florida Ave
City
State
Zip
33813-2532
Phone Number
407-438-3557
Fax Number
407-438-3558
person
Provider Business Mailing Address Details
Address
5950 S Florida Ave
City
State
Zip
33813-2532
Phone Number
407-438-3557
Fax Number
407-438-3558
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
ARNP9232495 (Florida)
Definition
Definition to come...
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