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Donnelle I. Wagner, DNP
Family Nurse Practitioner in Fort Smith, Arkansas
NPI 1225213812

Donnelle I. Wagner is a Family Nurse Practitioner based in Fort Smith, AR and is specialized in Family. Donnelle I. Wagner practices in Fort Smith, AR and has the professional credentials of DNP. The NPI Number for Donnelle I. Wagner is 1225213812 and holds a License No. ATP000123 (Arkansas).

The current practice location address for Donnelle I. Wagner is 4620 Rogers Ave, Fort Smith, AR and can be reached out via phone at 479-384-5380 and via fax at 479-384-5382.

Location: 4620 Rogers Ave, Fort Smith, AR, 72903-3149
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Provider Profile Details
NPI Number
1225213812
Provider Name
Donnelle I. Wagner
Credential
DNP
Provider Entity Type
Individual
Gender
Female
Address
4620 Rogers Ave, Fort Smith, AR, 72903-3149
Phone Number
479-384-5380
Fax Number
479-384-5382
Provider Enumeration Date
01/02/2008
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
168334758 05 AR
200130940A 05 OK
institution
Provider Business Practice Location Address Details
Address
4620 Rogers Ave
City
State
Zip
72903-3149
Phone Number
479-384-5380
Fax Number
479-384-5382
person
Provider Business Mailing Address Details
Address
4620 Rogers Ave
City
State
Zip
72903-3149
Phone Number
479-384-5380
Fax Number
479-384-5382
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
ATP000123 (Arkansas)
Definition
Definition to come...
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