Teresa J. Wagner R.N.

NPI 1255663605 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1255663605
Gender Female
Enumeration Date 02/10/2010
Last Updated 02/10/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
801 PARK AVE
MINNEAPOLIS MN, 55404-1136, US
Phone (612) 343-3265
Fax (612) 343-3267
Business Location
3641 LOGAN AVE N
MINNEAPOLIS MN, 55412-1949, US
Phone (612) 343-3265
Fax (612) 343-3267
Toxanomy
Taxonomy Code 171M00000X
License State Minnesota
License Number R125206-4
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According to our database, Mrs. Teresa J. Wagner R.N. NPI is 1255663605, taxonomy code is 171M00000X and license number is R125206-4, license state is located at Minnesota. Teresa J. Wagner R.N. physically located at 801 Park Ave, Minneapolis MN, 55404-1136. NPI Number Teresa J. Wagner R.N. has the Individual type.

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1255663605 NPI number is provided on an as is basis without warranty of any kind. 1255663605 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa J. Wagner R.N. are for informational purposes only.