person
Jill Wagner, RN,RCS
Home Health Registered Nurse in West Bend, Wisconsin
NPI 1568638351

Jill Wagner is a Home Health Registered Nurse based in West Bend, WI and is specialized in Home Health. Jill Wagner practices in West Bend, WI and has the professional credentials of RN,RCS. The NPI Number for Jill Wagner is 1568638351 and holds a License No. 154545 (Wisconsin).

The current practice location address for Jill Wagner is 154 N 15Th Ave, West Bend, WI and can be reached out via phone at 262-334-8158.

Location: 154 N 15Th Ave, West Bend, WI, 53095-3023
person
Provider Profile Details
NPI Number
1568638351
Provider Name
Jill Wagner
Credential
RN,RCS
Provider Entity Type
Individual
Gender
Female
Address
154 N 15Th Ave, West Bend, WI, 53095-3023
Phone Number
262-334-8158
Fax Number
Provider Enumeration Date
05/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35032000 05 WI
institution
Provider Business Practice Location Address Details
Address
154 N 15Th Ave
City
State
Zip
53095-3023
Phone Number
262-334-8158
Fax Number
person
Provider Business Mailing Address Details
Address
154 N 15Th Ave
City
State
Zip
53095-3023
Phone Number
262-334-8158
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
License No.
154545 (Wisconsin)
Definition
Definition to come...
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