SHAUNA R WAGNER

FORT WAYNE, IN
NPI1134993322
Former NameSHAUNA R BROSOSKY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71014657A)
Enumeration Date2023-11-08
Last Update Date2025-04-22
Business Address
SHAUNA R WAGNER NP
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1739
Phone number: 833-724-8326
Mailing Address
SHAUNA R WAGNER NP
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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