PHYLLIS A. WAGNER

DAVIE, FL
NPI1609157569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP 670502)
Enumeration Date2011-09-06
Last Update Date2011-09-06
Business Address
-- PHYLLIS A. WAGNER ARNP
3390 SW 131ST TER
DAVIE, FL 33330-4618
Phone number: 954-424-0346
Mailing Address
-- PHYLLIS A. WAGNER ARNP
3390 SW 131ST TER
DAVIE, FL 33330-4618
Phone number: 954-424-0346
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