Search › Washington › 363LP2300X
Devon Wagner, APRN
NPI 1407618739 · on the registry since 2024
Practice
- Address
- 5708 E. Lake Sammanish Pkwy Se
Issaquah, WA 98029 - Phone
- (425) 688-5777
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 163W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-23
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 Washington