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Elizabeth Wagoner, APRN
Family Nurse Practitioner in Indiantown, Florida
NPI 1740953660

Elizabeth Wagoner is a Family Nurse Practitioner based in Indiantown, FL and is specialized in Family. Elizabeth Wagoner practices in Indiantown, FL and has the professional credentials of APRN. The NPI Number for Elizabeth Wagoner is 1740953660 and holds a License No. 11014158 (Florida).

The current practice location address for Elizabeth Wagoner is 15790 Sw Famel Ave, Indiantown, FL and can be reached out via phone at 419-345-2797.

Location: 15790 Sw Famel Ave, Indiantown, FL, 34956-3533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740953660
Provider Name
Elizabeth Wagoner
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
15790 Sw Famel Ave, Indiantown, FL, 34956-3533
Phone Number
419-345-2797
Fax Number
Provider Enumeration Date
07/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15790 Sw Famel Ave
City
Indiantown
State
Florida
Zip
34956-3533
Phone Number
419-345-2797
Fax Number
person
Provider Business Mailing Address Details
Address
15790 Sw Famel Ave
City
Indiantown
State
Florida
Zip
34956-3533
Phone Number
419-345-2797
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11014158 (Florida)
Definition
Definition to come...
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