MARISSA WAGNER

ORANGE CITY, FL
NPI1033882907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11013967)
Enumeration Date2021-07-27
Last Update Date2021-07-27
Business Address
MARISSA WAGNER APRN
2884 WELLNESS AVE STE 100
ORANGE CITY, FL 32763-8427
Phone number: 386-668-2221
Mailing Address
MARISSA WAGNER APRN
1071 CALLA LILY CV
OVIEDO, FL 32766-0003
Phone number: 407-257-1363
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