KRISTIE RENEE WAGSTAFF

SUFFOLK, VA
NPI1548560519
Former NameKRISTIE RENEE ODEJOKE-MAXWELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: VA  0024190695)
Additional Taxonomies363LW0102X Nurse Practitioner, Women's Health
(Licence: KS  75273)
363LW0102X Nurse Practitioner, Women's Health
(Licence: MO  2011009868)
Enumeration Date2010-10-25
Last Update Date2024-09-12
Business Address
Mrs. KRISTIE RENEE WAGSTAFF WHNP-BC
5801 HARBOUR VIEW BLVD # 300
SUFFOLK, VA 23435-2657
Phone number: 757-673-8383
Mailing Address
Mrs. KRISTIE RENEE WAGSTAFF WHNP-BC
109 PINTAIL DR
SUFFOLK, VA 23435-3724
Phone number: 913-240-6203