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
Fax: (978) 657-4169
Website:

Health care specialties

SpecialtyCodeLicense #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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