person
Dr. Tracie Denie Johnson-wagner, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Gilbert, Arizona
NPI 1578064382

Tracie Denie Johnson-wagner is a Psychiatric/Mental Health Nurse Practitioner based in Phoenix, AZ and is specialized in Psychiatric/Mental Health. Tracie Denie Johnson-wagner practices in Gilbert, AZ and has the professional credentials of PMHNP-BC. The NPI Number for Tracie Denie Johnson-wagner is 1578064382 and holds a License No. C-RXN.0002422-C-NP (Arizona).

The current practice location address for Tracie Denie Johnson-wagner is 2450 E Guadalupe Rd Ste 103, Gilbert, AZ and can be reached out via phone at 480-907-6818 and via fax at 480-428-0475.

Location: 2450 E Guadalupe Rd Ste 103, Gilbert, AZ, 85008-7725
person
Provider Profile Details
NPI Number
1578064382
Provider Name
Tracie Denie Johnson-wagner
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2450 E Guadalupe Rd Ste 103, Gilbert, AZ, 85008-7725
Phone Number
480-907-6818
Fax Number
480-428-0475
Provider Enumeration Date
02/27/2018
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
2450 E Guadalupe Rd Ste 103
City
State
Zip
85234-5116
Phone Number
480-907-6818
Fax Number
480-428-0475
person
Provider Business Mailing Address Details
Address
2450 E Guadalupe Rd Ste 103
City
State
Zip
85234-5116
Phone Number
480-907-6818
Fax Number
480-428-0475
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
C-RXN.0002422-C-NP (Colorado)
Definition
Definition to come...
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