Search › Illinois › 363LP0200X
Grace Wagner, DNP, APRN, CPNP
NPI 1871164418 · on the registry since 2021 · sole proprietor
Practice
- Address
- 8600 State Route 91 Ste 200
Peoria, IL 61615 - Phone
- (309) 692-1030
- Clinicians at this address
- 44
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-06
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 Illinois