Search › Illinois › 363LF0000X
Peggy Wagner, APN
NPI 1699932665 · on the registry since 2008
Practice
- Address
- 2850 Glenwood Ave
React
Rockford, IL 61101 - Phone
- (815) 971-4750
- Fax
- (815) 971-4120
- Organisation at this address
- Lifenet, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-19
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 Illinois