STACY L WAGNER

JOHNSTOWN, PA
NPI1245936533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: PA  RN276830L)
Enumeration Date2023-02-07
Last Update Date2023-02-07
Business Address
STACY L WAGNER RN
401 BROAD ST
JOHNSTOWN, PA 15906-2745
Phone number: 814-535-6000
Mailing Address
STACY L WAGNER RN
PO BOX 160
WILMORE, PA 15962-0160
Phone number: 814-915-0430