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Courtney Wagner, LPN
NPI 1295914331 · on the registry since 2007
Practice
- Address
- 6261 Old Bethel Rd
Crestview, FL 32536 - Phone
- (850) 683-7500
- Fax
- (850) 683-7523
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida