Heather Wagner

Specialist · Freeport, IL

Individual Active NPI

NPI number 1881931061

Practice location

421 W Exchange St
Freeport, IL 61032-4008
Phone
(815) 599-7300

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NPI record

NPI
1881931061
Entity type
Individual (Type 1)
Enumeration date
January 9, 2013
Last updated
January 9, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — —

Mailing address

PO Box 813
Freeport, IL 61032-0813

About Heather Wagner

Heather Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 421 W Exchange St, Freeport, IL 61032-4008. The NPI number 1881931061 was assigned on January 9, 2013 and the record was last updated on January 9, 2013.

Frequently asked questions

What is the NPI number of Heather Wagner?

The NPI number is 1881931061.

What is the phone number of Heather Wagner?

The phone number listed for the practice location is (815) 599-7300.

Where is Heather Wagner located?

421 W Exchange St, Freeport, IL 61032-4008.

What is the taxonomy code for Heather Wagner?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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