Urban Lawrence Wagner R.N.

NPI 1356611503 - Registered Nurse - 163W00000X

NPI Details
NPI 1356611503
Gender Male
Enumeration Date 01/05/2012
Last Updated 01/05/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
550 NORTH UNIVERSITY BLVD
ROOM 5595
INDIANAPOLIS IN, 46202-5250, US
Phone (317) 278-7097
Fax (317) 274-3986
Business Location
550 NORTH UNIVERSITY BLVD
ROOM 5595
INDIANAPOLIS IN, 46202-5250, US
Phone (317) 278-7097
Fax (317) 274-3986
Toxanomy
Taxonomy Code 163W00000X
License State Indiana
License Number 28063963A
Remove 1356611503 NPI Number
 

According to our database, Mr. Urban Lawrence Wagner R.N. NPI is 1356611503, taxonomy code is 163W00000X and license number is 28063963A, license state is located at Indiana. Urban Lawrence Wagner R.N. physically located at 550 North University Blvd, Indianapolis IN, 46202-5250. NPI Number Urban Lawrence Wagner R.N. has the Individual type.

Sponsored links

1356611503 NPI number is provided on an as is basis without warranty of any kind. 1356611503 is maintained by the National Plan & Provider Enumeration System. The contents of Urban Lawrence Wagner R.N. are for informational purposes only.