person
Blair Wagoner
Psychiatric/Mental Health Nurse Practitioner in Richmond, Indiana
NPI 1366220907

Blair Wagoner is a Psychiatric/Mental Health Nurse Practitioner based in Muncie, IN and is specialized in Psychiatric/Mental Health. Blair Wagoner practices in Richmond, IN. The NPI Number for Blair Wagoner is 1366220907 and holds a License No. 71014313A (Indiana).

The current practice location address for Blair Wagoner is 501 1/2 S 7Th St., Rm 1, Richmond, IN and can be reached out via phone at 765-935-5390. You can also correspond with Blair Wagoner through the mailing address at 240 N TILLOTSON AVE, MUNCIE, IN - 47304-3988 (mailing address contact number: 765-288-1928).

Location: 501 1/2 S 7Th St., Rm 1, Richmond, IN, 47304-3988
person
Provider Profile Details
NPI Number
1366220907
Provider Name
Blair Wagoner
Credential
Provider Entity Type
Individual
Gender
Female
Address
501 1/2 S 7Th St., Rm 1, Richmond, IN, 47304-3988
Phone Number
765-935-5390
Fax Number
Provider Enumeration Date
09/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
501 1/2 S 7Th St., Rm 1
City
State
Zip
47374
Phone Number
765-935-5390
Fax Number
person
Provider Business Mailing Address Details
Address
501 1/2 S 7Th St., Rm 1
City
State
Zip
47374
Phone Number
765-935-5390
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
71014313A (Indiana)
Definition
Definition to come...
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