SearchFlorida363LF0000X

Phyllis Wagner, ARNP

NPI 1609157569 · on the registry since 2011 · sole proprietor

Practice

Address
3390 Sw 131st Ter
Davie, FL 33330
Phone
(954) 424-0346
Fax
(954) 370-4833
Organisation at this address
The Wagner Group, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-09-06

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