| NPI | 1700053766 |
|---|---|
| Former Name | NANCY ANN WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP02498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN137999) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH WAG104279395) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2018-12-04 |