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Ms. Judith Mary Wagoner, NP
Family Nurse Practitioner in Fort Myers, Florida
NPI 1831468719

Judith Mary Wagoner is a Family Nurse Practitioner based in Fort Myers, FL and is specialized in Family. Judith Mary Wagoner practices in Fort Myers, FL and has the professional credentials of NP. The NPI Number for Judith Mary Wagoner is 1831468719 and holds a License No. ARNP9360341 (Florida).

The current practice location address for Judith Mary Wagoner is 9131 College Pointe Ct, Fort Myers, FL and can be reached out via phone at 239-343-9100 and via fax at 239-343-9108.

Location: 9131 College Pointe Ct, Fort Myers, FL, 33902-2147
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Provider Profile Details
NPI Number
1831468719
Provider Name
Judith Mary Wagoner
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
9131 College Pointe Ct, Fort Myers, FL, 33902-2147
Phone Number
239-343-9100
Fax Number
239-343-9108
Provider Enumeration Date
12/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008914000 05 FL
institution
Provider Business Practice Location Address Details
Address
9131 College Pointe Ct
City
State
Zip
33919-3245
Phone Number
239-343-9100
Fax Number
239-343-9108
person
Provider Business Mailing Address Details
Address
9131 College Pointe Ct
City
State
Zip
33919-3245
Phone Number
239-343-9100
Fax Number
239-343-9108
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
ARNP9360341 (Florida)
Definition
Definition to come...
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