person
Mrs. Lane Gray Wagnon, NP
Adult Health Nurse Practitioner in Conway, Arkansas
NPI 1871756395

Lane Gray Wagnon is an Adult Health Nurse Practitioner based in Conway, AR and is specialized in Adult Health. Lane Gray Wagnon practices in Conway, AR and has the professional credentials of NP. The NPI Number for Lane Gray Wagnon is 1871756395 and holds a License No. A02902 (Arkansas).

The current practice location address for Lane Gray Wagnon is 525 Western Ave, Conway, AR and can be reached out via phone at 501-513-5337 and via fax at 501-513-5338.

Location: 525 Western Ave, Conway, AR, 72034-4967
person
Provider Profile Details
NPI Number
1871756395
Provider Name
Lane Gray Wagnon
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
525 Western Ave, Conway, AR, 72034-4967
Phone Number
501-513-5337
Fax Number
501-513-5338
Provider Enumeration Date
07/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
525 Western Ave
City
State
Zip
72034-4967
Phone Number
501-513-5337
Fax Number
501-513-5338
person
Provider Business Mailing Address Details
Address
525 Western Ave
City
State
Zip
72034-4967
Phone Number
501-513-5337
Fax Number
501-513-5338
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
A02902 (Arkansas)
Definition
Definition to come...
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