person
Grace Elizabeth Wagner, DNP,APRN,CPNP
Pediatric Nurse Practitioner in Peoria, Illinois
NPI 1871164418

Grace Elizabeth Wagner is a Pediatric Nurse Practitioner based in Morton, IL and is specialized in Pediatrics. Grace Elizabeth Wagner practices in Peoria, IL and has the professional credentials of DNP,APRN,CPNP. The NPI Number for Grace Elizabeth Wagner is 1871164418 and holds a License No. 209021274 (Illinois).

The current practice location address for Grace Elizabeth Wagner is 8600 State Route 91 Ste 200, Peoria, IL and can be reached out via phone at 309-692-1030.

Location: 8600 State Route 91 Ste 200, Peoria, IL, 61550-4559
person
Provider Profile Details
NPI Number
1871164418
Provider Name
Grace Elizabeth Wagner
Credential
DNP,APRN,CPNP
Provider Entity Type
Individual
Gender
Female
Address
8600 State Route 91 Ste 200, Peoria, IL, 61550-4559
Phone Number
309-692-1030
Fax Number
Provider Enumeration Date
07/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8600 State Route 91 Ste 200
City
State
Zip
61615-7833
Phone Number
309-692-1030
Fax Number
person
Provider Business Mailing Address Details
Address
8600 State Route 91 Ste 200
City
State
Zip
61615-7833
Phone Number
309-692-1030
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209021274 (Illinois)
Definition
Definition to come...
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