LISHA INEZ WAGNER

MORRISTOWN, TN
NPI1306035209
Former NameLISHA INEZ MCCRARY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: TN  RN100615)
Enumeration Date2007-10-17
Last Update Date2007-10-17
Business Address
-- LISHA INEZ WAGNER RN
815 WEST FIFTH NORTH STREET
MORRISTOWN, TN 37814
Phone number: 423-586-5032
Mailing Address
-- LISHA INEZ WAGNER RN
DEPARTMENT 888182
KNOXVILLE, TN 37995-8182
Phone number: 800-355-3565