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1477596468
ELIZABETH MARIE WAGNER
MINNEAPOLIS, MN
NPI
1477596468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: IL 41272234)
Enumeration Date
2006-06-14
Last Update Date
2023-03-13
Business Address
ELIZABETH MARIE WAGNER RN, MSN, CPNP-AC
2525 CHICAGO AVE # MS 324203
MINNEAPOLIS, MN 55404-4518
Phone number: 126-813-7336
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Mailing Address
ELIZABETH MARIE WAGNER RN, MSN, CPNP-AC
1019 DANUBE AVE
SHAKOPEE, MN 55379-4636
Phone number: 612-813-7336
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