CAROLE EATON WAGNER

PRESCOTT, AZ
NPI1821085879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  RN036104)
Enumeration Date2005-10-04
Last Update Date2010-10-26
Business Address
Mrs. CAROLE EATON WAGNER FNP
500 HWY 89 NORTH NORTHERN AZVA HEALTHCARE SYSTEM
PRESCOTT, AZ 86313
Phone number: 928-445-4860
Mailing Address
Mrs. CAROLE EATON WAGNER FNP
PO BOX 206
HUMBOLDT, AZ 86329-0206
Phone number: 928-632-5550
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