Ebony Wagner
Ebony Wagner is a Licensed Practical Nurse in Florissant, Missouri. Licensed in Missouri. Registered with an NPI since 2016.
- Licensed in
- MO
- In the registry since
- 2016
Practice location Address checks out
2325 Patterson RdFlorissant, MO 63031-2205
Phone: (314) 620-5553
Fax: (314) 584-5002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 2013023536 (MO) |
|---|
Record details
| NPI number | 1417402397 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 19, 2016 |
| Last updated in NPPES | August 19, 2016 |
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