MARY LANIER HUNTLEY-WAGNER

VIRGINIA BEACH, VA
NPI1376775098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024168926)
Enumeration Date2009-08-13
Last Update Date2019-12-02
Business Address
MARY LANIER HUNTLEY-WAGNER FNP
813 INDEPENDENCE BLVD
VIRGINIA BEACH, VA 23455-6004
Phone number: 757-333-7625
Mailing Address
MARY LANIER HUNTLEY-WAGNER FNP
860 OMNI BLVD STE 101
NEWPORT NEWS, VA 23606-4430
Phone number: 757-232-8769