SearchMissouri171M00000X

Amanda Wagner

NPI 1386238418 · on the registry since 2021

Practice

Address
Hc 64 Box 4590
Marble Hill, MO 63764
Phone
(573) 866-2010
Organisation at this address
Diana'S Boarding Home, Inc
Diana'S Boarding Home 1, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2021-03-01

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 Missouri