CRYSTAL WAGNER

FORT THOMAS, KY
NPI1689049033
Former NameCRYSTAL CRUZE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3009831)
Enumeration Date2015-12-10
Last Update Date2024-02-19
Business Address
CRYSTAL WAGNER APRN
85 N GRAND AVE
FORT THOMAS, KY 41075-1793
Phone number: 859-572-3617
Mailing Address
CRYSTAL WAGNER APRN
PO BOX 18667
ERLANGER, KY 41018-0667
Phone number: 513-312-2247