Stacie Wagner, NNP
Stacie Wagner, NNP is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address checks out
300 W Clarendon Ave 375Phoenix, AZ 85013-3420
Phone: (602) 277-4161
Fax: (602) 274-3394
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2122 (AZ) |
|---|
Record details
| NPI number | 1609895317 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NNP |
| Sole proprietor | No |
| NPI enumerated | July 19, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 300 W Clarendon Ave, 375, Phoenix, AZ 85013-3420 |
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