Paula Marie Wagoner, ARNP
Nurse Practitioner, Adult Health in Tampa, FL. Individual provider (NPI-1).
NPI number1962496331
StatusActive
Last updated in NPPESJul 13, 2007
Details
- NPI
- 1962496331
- Entity type
- Individual (NPI-1)
- Name
- Ms. Paula Marie Wagoner
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2005
- Last updated
- Jul 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 1104442 | FL | Yes |
Practice location
13000 Bruce B Downs BlvdTampa, FL 33612-4745
Phone 813-972-2000 · Fax 813-903-4879
Mailing address
13000 Bruce B Downs BlvdTampa, FL 33612-4745
Phone 813-972-2000 · Fax 813-903-4879
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