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Casey Rae Wagner, APRN
Obstetrics & Gynecology Nurse Practitioner in St. Joseph, Missouri
NPI 1750659777

Casey Rae Wagner is a Obstetrics & Gynecology Nurse Practitioner based in St. Joseph, MO and is specialized in Obstetrics & Gynecology. Casey Rae Wagner practices in St. Joseph, MO and has the professional credentials of APRN. The NPI Number for Casey Rae Wagner is 1750659777 and holds a License No. 2011028689 (Missouri).

The current practice location address for Casey Rae Wagner is 5325 Faraon St., St. Joseph, MO and can be reached out via phone at 816-271-6000.

Location: 5325 Faraon St., St. Joseph, MO, 64506-6201
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Provider Profile Details
NPI Number
1750659777
Provider Name
Casey Rae Wagner
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
5325 Faraon St., St. Joseph, MO, 64506-6201
Phone Number
816-271-6000
Fax Number
Provider Enumeration Date
12/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1750659777 05 MO
200750820A 05 KS
institution
Provider Business Practice Location Address Details
Address
5325 Faraon St.
City
State
Zip
64506-3488
Phone Number
816-271-6000
Fax Number
person
Provider Business Mailing Address Details
Address
5325 Faraon St.
City
State
Zip
64506-3488
Phone Number
816-271-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
2011028689 (Missouri)
Definition
Definition to come...
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