MICHELE WAGONER

CUMBERLAND, MD
NPI1407973894
Former NameMICHELE SHEKEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R144825)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: WV  65656)
Enumeration Date2007-03-23
Last Update Date2020-07-27
Business Address
Mrs. MICHELE WAGONER CRNP
1050 W INDUSTRIAL BLVD STE 17
CUMBERLAND, MD 21502-4331
Phone number: 240-964-9300
Mailing Address
Mrs. MICHELE WAGONER CRNP
PO BOX 1671
CUMBERLAND, MD 21501-1671
Phone number: 240-964-8342