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NPI Profile for ROBERTA L WAGNER in MINNEAPOLIS, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
364SG0600X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1932661402 |
|
| Status | Active | |
| Credentials | AG-CNS | |
| Entity | Individual | |
| Enumeration date | 04/03/2019 | |
| Last updated | 04/03/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ROBERTA L WAGNER
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ROBERTA L WAGNER, AG-CNS