Wagoner, Kristen Laramie
Wagoner, Kristen Laramie is an individual health care provider with primary practice located at 500 Salem St , Wilmington MA 01887-1200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wagoner, Kristen Laramie can be contacted via phone (978) 988-6000.Contact Information
Primary practice address
500 Salem St
Wilmington MA 01887-1200
Phone: (978) 988-6000
Fax: (978) 657-4169
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2270616 | Massachusetts |
Profile Details
NPI number | 1407104060 |
---|---|
LBN Legal business name | Wagoner, Kristen Laramie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2012 |
Last updated | Jun 10th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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