GABRIELLE WAGNER

PHILADELPHIA, PA
NPI1639893449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP025758)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: PA  SP025758)
Enumeration Date2022-09-27
Last Update Date2022-09-27
Business Address
GABRIELLE WAGNER
800 WALNUT ST FL 20
PHILADELPHIA, PA 19107-5176
Phone number: 215-829-8455
Mailing Address
GABRIELLE WAGNER
800 WALNUT ST FL 20
PHILADELPHIA, PA 19107-5176
Phone number: 215-829-8455