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Mr. Brian George Wagoner, RN,FNPBC
Family Nurse Practitioner in Springfield, Missouri
NPI 1306083480

Brian George Wagoner is a Family Nurse Practitioner based in Springfield, MO and is specialized in Family. Brian George Wagoner practices in Springfield, MO and has the professional credentials of RN,FNPBC. The NPI Number for Brian George Wagoner is 1306083480 and holds a License No. 155580 (Missouri).

The current practice location address for Brian George Wagoner is 1235 E Cherokee St, Springfield, MO and can be reached out via phone at 417-820-9729 and via fax at 417-820-6471.

Location: 1235 E Cherokee St, Springfield, MO, 65801-2580
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Provider Profile Details
NPI Number
1306083480
Provider Name
Brian George Wagoner
Credential
RN,FNPBC
Provider Entity Type
Individual
Gender
Male
Address
1235 E Cherokee St, Springfield, MO, 65801-2580
Phone Number
417-820-9729
Fax Number
417-820-6471
Provider Enumeration Date
01/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 MO
institution
Provider Business Practice Location Address Details
Address
1235 E Cherokee St
City
State
Zip
65804-2203
Phone Number
417-820-9729
Fax Number
417-820-6471
person
Provider Business Mailing Address Details
Address
1235 E Cherokee St
City
State
Zip
65804-2203
Phone Number
417-820-9729
Fax Number
417-820-6471
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
155580 (Missouri)
Definition
Definition to come...
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