SUSAN RAE WAGNER

LEBANON, VA
NPI1346695301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: VA  0024173497)
Enumeration Date2016-04-27
Last Update Date2016-04-27
Business Address
MRS. SUSAN RAE WAGNER NP-C
142 HIGHLAND DR
LEBANON, VA 24266-4636
Phone number: 276-762-7600
Mailing Address
MRS. SUSAN RAE WAGNER NP-C
103 PEACEFUL ST
CLINTWOOD, VA 24228-5081
Phone number: 276-220-1845