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Phyllis A. Wagner, ARNP
Family Nurse Practitioner in Davie, Florida
NPI 1609157569

Phyllis A. Wagner is a Family Nurse Practitioner based in Davie, FL and is specialized in Family. Phyllis A. Wagner practices in Davie, FL and has the professional credentials of ARNP. The NPI Number for Phyllis A. Wagner is 1609157569 and holds a License No. ARNP 670502 (Florida).

The current practice location address for Phyllis A. Wagner is 3390 Sw 131St Ter, Davie, FL and can be reached out via phone at 954-424-0346 and via fax at 954-370-4833.

Location: 3390 Sw 131St Ter, Davie, FL, 33330-4618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609157569
Provider Name
Phyllis A. Wagner
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
3390 Sw 131St Ter, Davie, FL, 33330-4618
Phone Number
954-424-0346
Fax Number
954-370-4833
Provider Enumeration Date
09/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3390 Sw 131St Ter
City
Davie
State
Florida
Zip
33330-4618
Phone Number
954-424-0346
Fax Number
954-370-4833
person
Provider Business Mailing Address Details
Address
3390 Sw 131St Ter
City
Davie
State
Florida
Zip
33330-4618
Phone Number
954-424-0346
Fax Number
954-370-4833
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP 670502 (Florida)
Definition
Definition to come...
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