KELSEY ANNA WAGONER

PLYMOUTH, IN
NPI1144941758
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71013346A)
Enumeration Date2022-09-12
Last Update Date2023-11-09
Business Address
KELSEY ANNA WAGONER FNP
209 E JEFFERSON ST
PLYMOUTH, IN 46563-1861
Phone number: 574-948-5100
Mailing Address
KELSEY ANNA WAGONER FNP
707 CEDAR ST STE 405
SOUTH BEND, IN 46617-2059
Phone number:
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