Julia Wagner, FNP-C
Nurse Practitioner, Family in Bridgeton, MO. Individual provider (NPI-1).
NPI number1982258687
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1982258687
- Entity type
- Individual (NPI-1)
- Name
- Julia Wagner
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2019
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2019023257 | MO | Yes |
Practice location
12266 Depaul DriveSuite 100
Bridgeton, MO 63044
Phone 314-738-2770
Mailing address
Po Box 955534Saint Louis, MO 63195-2551
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All 34 Family Nurse Practitioner providers in Bridgeton · All 1,440 providers in Bridgeton
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