DONNELLE I. WAGNER

FORT SMITH, AR
NPI1225213812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  ATP000123)
Enumeration Date2008-01-02
Last Update Date2024-09-13
Business Address
DONNELLE I. WAGNER DNP
4620 ROGERS AVE
FORT SMITH, AR 72903-3149
Phone number: 479-384-5380
Mailing Address
DONNELLE I. WAGNER DNP
4620 ROGERS AVE
FORT SMITH, AR 72903-3149
Phone number: 479-384-5380